# HA THANH LE MD PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740204353
- **Authorized official:** DR. HA T LE MD (MD)
- **Authorized official phone:** (270) 765-6149

## Contact information

- **Practice address:** 914 N DIXIE AVE STE 100, ELIZABETHTOWN, KY 42701-2536
- **Practice address phone:** (270) 765-6149
- **Practice address fax:** (270) 737-5235
- **Mailing address:** 914 N DIXIE AVE STE 100, ELIZABETHTOWN, KY 42701-2536
- **Mailing address phone:** (270) 765-6149
- **Mailing address fax:** (270) 737-5235

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 18501 | KY | Yes |

## Other

- **Enumeration date:** 07/27/2006
- **Last updated:** 03/19/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000047264 | ANTHEM BCBS | KY |
| 05 | — | 65939274 | — | KY |