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Individual

DR. TAYLOR EISENMENGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O

Contact information

Practice address
5129 DIXIE HWY STE 100, LOUISVILLE, KY 40216-1727
(502) 447-3338
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04671
KY
207Q00000X
Family Medicine Physician
T-3267
MS

Other

Enumeration date
10/17/2016
Last updated
02/19/2020
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