Individual
DR. NATALIE HOUSTON DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13802 LAKE POINT CIR STE 201, LOUISVILLE, KY 40223-4219
(502) 245-4450
(502) 245-4462
Mailing address
13802 LAKE POINT CIR STE 201, LOUISVILLE, KY 40223-4219
(502) 245-4450
(502) 245-4462
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
R0692
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000569365
ANTHEM
KY
01
—
41083
LICENSE
KY
01
—
9703140
AETNA
KY
01
—
P00689182
RAILROAD MEDICARE
KY
Enumeration date
02/20/2007
Last updated
10/24/2022
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