Individual
CATRINEL DIACONEASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4000 KRESGE WAY, LOUISVILLE, KY 40207-4605
(502) 895-9627
(502) 895-8977
Mailing address
3950 KRESGE WAY, SUITE 308, LOUISVILLE, KY 40207-4637
(502) 895-9627
(502) 895-8977
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
37226
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64054828
—
KY
Enumeration date
06/09/2006
Last updated
11/29/2011
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