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Individual

DR. KATHY MARIE VINCENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
401 E CHESTNUT ST, SUITE 610, LOUISVILLE, KY 40202-5700
(502) 588-4450
(502) 588-9539
Mailing address
401 E CHESTNUT ST, SUITE 600, LOUISVILLE, KY 40202-5700
(502) 588-4450
(502) 588-4427

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
32166
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0026960
PTAN
05
200821240
IN
01
396165
TRICARE
KY
05
64321664
KY
Enumeration date
02/03/2006
Last updated
11/24/2015
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