Individual
SHERRI LEE HOGAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 TRILLIUM WAY, CORBIN, KY 40701-8426
(606) 528-1212
Mailing address
325 COLLEGE ST, BARBOURVILLE, KY 40906-1409
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
36437
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64040223
—
KY
01
—
P00292495
RAILROAD MEDICARE
KY
Enumeration date
06/05/2006
Last updated
07/08/2007
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