Individual
ERIC R UHLENHUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 BLUEGRASS AVE, SUITE 203, LOUISVILLE, KY 40215
(502) 375-0009
(502) 375-2150
Mailing address
1900 BLUEGRASS AVE, SUITE 203, LOUISVILLE, KY 40215
(502) 375-0009
(502) 375-2150
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
22396
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000042788
ANTHEM
—
01
—
1043937
PASSPORT
KY
01
—
1106100
PASSPORT
KY
01
—
2292157001
CIGNA
—
01
—
6112309457A11
ANTHEM SENIOR
—
01
—
6112309457B11
ANTHEM SENIOR
—
05
—
64223969
—
KY
05
—
65909285
—
KY
Enumeration date
10/05/2006
Last updated
12/11/2007
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