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Individual

DR. TRACI ANNETTE SANCHEZ-VANHOOSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
613 23RD ST STE G10, ASHLAND, KY 41101-2886
(606) 408-5864
(606) 408-6499
Mailing address
P.O. BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
(606) 408-6612

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34749
KY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
34749
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2119522
OH
05
64347495
KY
01
P00673172
RR MEDICARE
KY
01
P01045719
RR MEDICARE
KY
Enumeration date
07/07/2008
Last updated
11/07/2018
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