Individual
KAREN DUCKWALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2215 PORTLAND AVE, LOUISVILLE, KY 40212-1033
(502) 774-8631
(502) 776-8912
Mailing address
2215 PORTLAND AVE, LOUISVILLE, KY 40212-1033
(502) 774-8631
(502) 776-8912
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
20348
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000338413
ANTHEM
KY
05
—
64203482
—
KY
Enumeration date
06/23/2005
Last updated
11/18/2008
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