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Individual

PAUL SIMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 ABRAHAM FLEXNER WAY, LOUISVILLE, KY 40202-1818
(502) 587-4203
(502) 587-4155
Mailing address
100 E LIBERTY ST STE 800, LOUISVILLE, KY 40202-1428
(502) 587-4404
(502) 587-4156

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
26595
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200041560A
IN
05
64265952
KY
Enumeration date
12/06/2006
Last updated
04/19/2018
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