Individual
DR. PAUL K FEARNEYHOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
839 S 2ND ST, LOUISVILLE, KY 40203-2209
(502) 456-6217
(502) 456-4440
Mailing address
1941 BISHOP LN STE 1018, LOUISVILLE, KY 40218-1928
(502) 456-6217
(502) 456-4440
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
26777
KY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
26777
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000247638
ANTHEM BLUE CROSS BS
KY
01
—
03-00255
UNITED HEALTHCARE
KY
01
—
096604
HEALTH ALLIANCE
KY
01
—
114362
AETNA BETTER HEALTH
KY
01
—
1194542
CHA
—
05
—
200375370A
—
IN
01
—
277243
ANTHEM MC SUPP
VA
05
—
300047661-40217-01
—
IL
01
—
300047661101
HUMANA CARESOURCE
KY
05
—
3103052
—
NH
05
—
4046474
—
TN
01
—
478847
HEALTHLINK
KY
01
—
50115666
PASSPORT
KY
01
—
5115678
AETNA
KY
01
—
600493
WELLCARE MA
KY
05
—
64048473
—
KY
01
—
690009345
RAILROAD MEDICARE
—
01
—
8642798
CIGNA
—
Enumeration date
08/15/2006
Last updated
02/19/2021
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