Individual
DR. HOLLY G DANNEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
413 S LOOP RD, EDGEWOOD, KY 41017-5446
(859) 301-3800
(859) 301-3820
Mailing address
PO BOX 636324, CINCINNATI, OH 45263-6324
(859) 301-3800
(859) 301-3820
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
37311
KY
207Q00000X
Family Medicine Physician
Primary
37311
KY
208M00000X
Hospitalist Physician
37311
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200533890
—
IN
05
—
2527144
—
OH
05
—
64078512
—
KY
Enumeration date
08/02/2005
Last updated
01/05/2024
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