Individual
BRIAN WALTER KAEBNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3900 KRESGE WAY STE 60, LOUISVILLE, KY 40207-4690
(502) 893-7710
(502) 893-1391
Mailing address
3900 KRESGE WAY STE 60, LOUISVILLE, KY 40207-4690
(502) 893-7710
(502) 893-1391
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
2016011517
MO
207RI0011X
Interventional Cardiology Physician
Primary
52594
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
KY
Enumeration date
06/26/2009
Last updated
01/08/2026
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