Individual
DR. JOHN P. LOVENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
45 MOONBOW PLZ, CORBIN, KY 40701-8949
(606) 523-9010
(606) 528-0028
Mailing address
PO BOX 1325, CORBIN, KY 40702-1325
(606) 526-8131
(606) 528-8661
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
20074
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64200744
—
KY
01
—
P01427513
RR MEDICARE
KY
Enumeration date
08/11/2006
Last updated
02/27/2017
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