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Individual

DIANA K HAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
6041 TIMBER RIDGE DR, PROSPECT, KY 40059-8134
(502) 228-2225
(502) 228-2226
Mailing address
PO BOX 950248, LOUISVILLE, KY 40295-0248
(502) 238-2801
(502) 238-2835

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
40263
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100039150
KY
Enumeration date
02/28/2008
Last updated
10/25/2012
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