Individual
BRENDA G HARRINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 AUDUBON PLAZA DR, LOUISVILLE, KY 40217-1318
(502) 634-6767
(502) 634-6775
Mailing address
PO BOX 36218, LOUISVILLE, KY 40233-6218
(502) 634-6767
(502) 634-6775
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
24071
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000048675
ANTHEM
KY
01
—
1051603
PASSPORT
KY
05
—
200351070
—
IN
01
—
2433076000
PASSPORT ADVANTAGE
KY
05
—
64240716
—
KY
Enumeration date
08/31/2006
Last updated
12/28/2011
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