Individual
MERRY LYNN MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
550 S JACKSON ST, DEPARTMENT OF OB/GYN, LOUISVILLE, KY 40202-1622
(502) 589-8637
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
P2294
TX
207VE0102X
Reproductive Endocrinology Physician
Primary
48901
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2010
Last updated
01/25/2017
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