Individual
HA THANH LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
914 N DIXIE AVE, SUITE 100, ELIZABETHTOWN, KY 42701-2520
(270) 765-6149
(270) 737-5235
Mailing address
914 N DIXIE AVE, SUITE 100, ELIZABETHTOWN, KY 42701-2520
(270) 765-6149
(270) 737-5235
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
18501
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000047264
ANTHEM BCBS
KY
01
—
1050773
PASSPORT HEALTH PLAN
KY
01
—
110018583
RAILROAD RETIREMENT
KY
01
—
203585100
DEPT OF LABOR
KY
01
—
2432966000
PASSPORT ADVANTAGE
KY
05
—
64185010
—
KY
Enumeration date
08/09/2005
Last updated
03/07/2023
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