Individual
DONNA GATEWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6580 KENWOOD CROSSING ROAD, CRESTWOOD, KY 40014
(502) 243-3161
(502) 243-3164
Mailing address
PO BOX 950248, LOUISVILLE, KY 40295-0248
(502) 489-5730
(502) 489-5733
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37025
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64047889
—
KY
Enumeration date
07/17/2006
Last updated
01/17/2015
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