Healthcare Provider Details

I. General information

NPI: 1629099460
Provider Name (Legal Business Name): PAUL HESTER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 S 3RD ST
DANVILLE KY
40422-1823
US

IV. Provider business mailing address

PO BOX 1650
AKRON OH
44309-1650
US

V. Phone/Fax

Practice location:
  • Phone: 859-335-9041
  • Fax: 859-335-9072
Mailing address:
  • Phone: 330-864-8900
  • Fax: 330-869-8924

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number29822
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: