Individual
JOANNA HETMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2400 EASTPOINT PKWY STE 450, LOUISVILLE, KY 40223-4154
(502) 244-6899
(502) 244-6940
Mailing address
PO BOX 950248, LOUISVILLE, KY 40295-0248
(502) 238-2801
(502) 238-2835
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
42851
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000629366
ANTHEM
KY
01
—
3734342000
PASSPORT ADVANTAGE
KY
01
—
50025480
PASSPORT
KY
05
—
7100086660
—
KY
Enumeration date
03/21/2007
Last updated
07/21/2022
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