Provider Demographics
NPI:1508933771
Name:HADDIX, ALLEN COURTNEY (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:COURTNEY
Last Name:HADDIX
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 VERSAILLES RD
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:KY
Mailing Address - Zip Code:40601-3857
Mailing Address - Country:US
Mailing Address - Phone:502-695-3946
Mailing Address - Fax:502-695-3847
Practice Address - Street 1:601 VERSAILLES RD
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-3857
Practice Address - Country:US
Practice Address - Phone:502-695-3946
Practice Address - Fax:502-695-3847
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2011-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY30388207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine