Individual
MAIS ALWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
900 S LIMESTONE CTW 304, LEXINGTON, KY 40536-0001
(859) 323-2834
(859) 257-2605
Mailing address
1901 CAMPUS PL, LOUISVILLE, KY 40299-2308
(502) 253-4924
(502) 489-5750
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
TP279
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2022
Last updated
05/12/2025
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