Search › Kentucky › 183500000X
Carisa Hagan
NPI 1265712749 · on the registry since 2011
Practice
- Address
- 1008 N Mulberry St
Elizabethtown, KY 42701 - Phone
- (270) 769-0865
- Fax
- (270) 769-0409
- Organisation at this address
- Walgreen Co
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-08-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky