Individual
DANIELLE M MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1023 NEW MOODY LANE, SUITE 103, LAGRANGE, KY 40031-9179
(502) 222-5558
(502) 222-3040
Mailing address
2700 STANLEY GAULT PKWY STE 129, LOUISVILLE, KY 40223-5176
(502) 253-4917
(502) 489-5751
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
03261
KY
207V00000X
Obstetrics & Gynecology Physician
036121101
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000666549
ANTHEM
KY
05
—
300058268
—
IN
01
—
50028686
PASSPORT
KY
05
—
7100115010
—
KY
Enumeration date
07/14/2008
Last updated
11/14/2025
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