Dennis Keith Hagan, COBBLER
Dennis Keith Hagan, COBBLER is a Customized Equipment (DME) in Bardstown, Kentucky. Practices as a sole proprietor. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
1240 E John Rowan BlvdBardstown, KY 40004-2066
Phone: (502) 349-7119
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Customized Equipment (DME) (primary) | Taxonomy 332BC3200X |
|---|
Record details
| NPI number | 1144277468 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | COBBLER |
| Sole proprietor | Yes |
| NPI enumerated | May 30, 2006 |
| Last updated in NPPES | January 20, 2010 |