Individual
KRISTA M DESENSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6801 DIXIE HWY, SUITE127, LOUISVILLE, KY 40258-3913
(502) 935-5633
(502) 935-5706
Mailing address
6801 DIXIE HWY, SUITE127, LOUISVILLE, KY 40258-3913
(502) 935-5633
(502) 935-5706
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
37223
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000225825
BLUE SHIELD
KY
Enumeration date
11/22/2005
Last updated
05/12/2009
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