Individual
NINA KAHLOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2811 KLEMPNER WAY, LOUISVILLE, KY 40205
(502) 896-6355
(502) 708-4022
Mailing address
PO BOX 950266, LOUISVILLE, KY 40295-0266
(502) 896-6355
(502) 896-9813
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
32396
KY
207NP0225X
Pediatric Dermatology Physician
32396
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1110680
PASSPORT
KY
01
—
2436691000
PASSPORT ADVANTAGE
KY
05
—
64323967-00
—
KY
Enumeration date
10/11/2006
Last updated
05/07/2020
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