Carolyn E Hacker, | |
100 S Court St, Manchester, KY 40962-1295 | |
(606) 598-2425 | |
(606) 598-4448 |
Full Name | Carolyn E Hacker |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 100 S Court St, Manchester, Kentucky |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023151388 | NPI | - | NPPES |
05-1875 | Other | KY | R.D. |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 05-1875 (Kentucky) | Primary |
Mailing Address | Practice Location Address |
---|---|
Carolyn E Hacker, Po Box 158, Manchester, KY 40962-0158 Ph: (606) 598-5564 | Carolyn E Hacker, 100 S Court St, Manchester, KY 40962-1295 Ph: (606) 598-2425 |
Kelly Gray, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 330 Shamrock Rd, Manchester, KY 40962 Phone: 606-598-2425 Fax: 606-598-4448 | |
Mrs. Tracy Stivers, MS RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 376 Manchester Square, Manchester, KY 40962 Phone: 606-598-7673 Fax: 606-598-7942 |