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Individual

DR. NATALIE HOUSTON DANIELS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

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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