Individual
JOHN O FAUREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5129 DIXIE HWY, LOUISVILLE, KY 40216-1727
(502) 447-3242
(502) 448-4722
Mailing address
6801 DIXIE HWY, SUITE 130, LOUISVILLE, KY 40258-3913
(502) 447-3242
(502) 448-4722
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16056
KY
Other
Enumeration date
08/10/2005
Last updated
10/26/2010
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