Vicki Lou Hackman in Berea - Family Medicine
Vicki Lou Hackman - NPI 1215913520
Vicki Lou Hackman is a Family Medicine in Berea, Kentucky. Vicki Lou Hackman practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Vicki Lou Hackman is 1215913520. The last update date is 2014-02-14.
Vicki Lou Hackman's current location address is 305 Estill St, Berea, Kentucky. You can contact this provider via phone number 8599851415 and fax number 8599866752. The mailing address for Vicki Lou Hackman is 305 Estill St, Berea, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Vicki Lou Hackman |
|---|---|
| Address | 305 Estill St, Berea, Kentucky |
| Phone Number | 8599851415 |
| Fax Number | 8599866752 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1215913520 |
|---|---|
| Provider Enumeration Date | 2005-12-19 |
| Last Updated Date | 2014-02-14 |
Provider Mailing Address Detail
| Address | 305 Estill St |
|---|---|
| City | Berea |
| State | Kentucky (KY) |
| Post Code | 404031742 |
| Phone Number | 8599851415 |
| Fax Number | 8599866752 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 24411 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 64244114 | KY | -- |
Post Comment/ Review Below
What is the Vicki Lou Hackman's 1215913520?
The Vicki Lou Hackman's NPI (National Provider Identifier) Number is 1215913520. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Vicki Lou Hackman's physical address?
The Vicki Lou Hackman is physically located at 305 Estill St, in the city of Berea, KY, with the postal code 404031742.
What is Vicki Lou Hackman's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Vicki Lou Hackman is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1215913520 to Vicki Lou Hackman?
The Centers for Medicare & Medicaid Services assigned the 1215913520 to Vicki Lou Hackman on 2005-12-19.
As of what date were the Vicki Lou Hackman's details last updated?
The information pertaining to the Vicki Lou Hackman, including its address, specialty, and other details, was most recently updated on 2014-02-14.