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Individual

HEATHER GENSEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
299 KINGS DAUGHTERS DR, FRANKFORT, KY 40601-6514
(502) 875-5240
Mailing address
425 LEWIS HARGETT CIR, LEXINGTON, KY 40503-3590
(859) 268-1030
(859) 269-4120

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
03459
KY
207L00000X
Anesthesiology Physician
58.001869
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100204550
KY
Enumeration date
04/13/2007
Last updated
10/31/2014
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