MEDICARE: KARL S HSIEH M.D.

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
1	207V00000X	Obstetrics & Gynecology Physician	35042717H	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386648152
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARL S HSIEH M.D.

Provider Business Mailing Address
First Line	:	289 IRELAND AVE
Second Line	:	BUILDING 851
City	:	FORT KNOX
State	:	KY
Zip	:	40121-5111
Country	:	US
Telephone Number	:	502-624-9196
Fax Number	:

Provider Business Practice Location Address
First Line	:	289 IRELAND AVE
Second Line	:	BUILDING 851
City	:	FORT KNOX
State	:	KY
Zip	:	40121-5111
Country	:	US
Telephone Number	:	502-624-9196
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	10/04/2012

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