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Individual

DANIEL DIERFELDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
401 E CHESTNUT ST UNIT 310, LOUISVILLE, KY 40202-5703
(502) 589-6788
(502) 589-5093
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 589-6788
(502) 589-5093

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
04544
KY
207Q00000X
Family Medicine Physician
125.059121
IL
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
04544
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100607570
KY
Enumeration date
06/03/2011
Last updated
11/16/2020
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