Individual
DR. CHARLES BROOK BENSENHAVER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3430 NEWBURG RD STE 210, LOUISVILLE, KY 40218-2458
(502) 454-8800
(502) 736-0140
Mailing address
3430 NEWBURG RD STE 210, LOUISVILLE, KY 40218-2458
(502) 454-8800
(502) 736-0140
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25215
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64018716
—
KY
Enumeration date
09/07/2006
Last updated
12/31/2019
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