Individual
DR. KRISTI LEA HAVENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
571 S FLOYD ST, STE 342, LOUISVILLE, KY 40202-3818
(502) 852-8470
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(317) 513-9159
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
43548
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201199020
—
IN
01
—
50051071
PASSPORT
KY
05
—
7100130320
—
KY
Enumeration date
04/12/2007
Last updated
12/26/2013
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