Individual
RALPH C HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 CLINIC DR, MADISONVILLE, KY 42431-1661
(270) 326-4966
(270) 326-4968
Mailing address
200 CLINIC DR, MADISONVILLE, KY 42431-1661
(270) 326-4966
(270) 326-4968
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
15807
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000044244
BCBS PROVIDER NUMBER
—
01
—
15807
LICENSE
KY
05
—
64158074
—
KY
Enumeration date
09/16/2006
Last updated
08/07/2012
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