Individual
DR. LESLIE JOSEPH DUNAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10216 TAYLORSVILLE RD, STE 400, LOUISVILLE, KY 40299-3616
(502) 267-5456
(502) 267-5488
Mailing address
PO BOX 950272, LOUISVILLE, KY 40295-0272
(502) 238-2801
(502) 238-2835
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23379
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000708708
ANTHEM
KY
01
—
50032124
PASSPORT
KY
05
—
64233794
—
KY
Enumeration date
06/10/2005
Last updated
05/19/2011
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