Individual
DR. ROSEOH MARIE HACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-4181
(859) 258-4058
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-4181
(859) 258-4058
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
02132
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00472053
RR MEDICARE PIN
KY
Enumeration date
08/23/2006
Last updated
05/29/2008
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