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NPI Code Detail

MEDICARE: JENNIFER K HAGENSCHNEIDER MD

MEDICARE:   JENNIFER K HAGENSCHNEIDER  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician35.085909OH
22085R0202XDiagnostic Radiology Physician32715WV
32085R0202XDiagnostic Radiology Physician39945KY

Other Identifiers

General Provider Information

NPI Number : 1447221890
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER K HAGENSCHNEIDER MD
Provider Business Mailing Address
First Line : PO BOX 550
Second Line :
City : VANCEBURG
State : KY
Zip : 41179-0550
Country : US
Telephone Number : 606-796-3029
Fax Number : 844-474-7624
Provider Business Practice Location Address
First Line : 211 KY 59
Second Line :
City : VANCEBURG
State : KY
Zip : 41179-7647
Country : US
Telephone Number : 606-796-3029
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2006
Last Update Date : 11/19/2024

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