Individual
DR. MARION D EYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6420 DUTCHMANS PKWY, SUITE 380, LOUISVILLE, KY 40205-3372
(502) 894-9753
(502) 371-0929
Mailing address
6420 DUTCHMANS PKWY, SUITE 380, LOUISVILLE, KY 40205-3372
(502) 894-9753
(502) 371-0929
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
01053627A
IN
207Y00000X
Otolaryngology Physician
Primary
35997
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1051585
PASSPORT
KY
01
—
3718513000
PASSPORT ADVANTAGE
KY
01
—
65902710
MEDICAID GROUP
KY
Enumeration date
05/05/2006
Last updated
12/08/2009
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