Individual
REBECCA LYN CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2307 GREENE WAY, LOUISVILLE, KY 40220-4009
(502) 897-9594
(502) 896-1808
Mailing address
2307 GREENE WAY, LOUISVILLE, KY 40220-4009
(502) 736-4343
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
41615
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000564414
ANTHEM BLUE CROSS AND BLUE SHEILD
KY
05
—
200909090
—
IN
01
—
3547360000
PASSPORT ADVANTAGE
KY
01
—
50021034
PASSPORT HEALTH PLAN
KY
05
—
7100059640
—
KY
Enumeration date
05/31/2005
Last updated
02/21/2017
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