Individual
BRYAN THOMAS IGLEHART JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3828 BARDSTOWN RD, LOUISVILLE, KY 40218-1527
(502) 459-4900
(502) 454-0591
Mailing address
PO BOX 950248, LOUISVILLE, KY 40295-0248
(502) 489-5730
(502) 489-5753
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22223
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64222235
—
KY
Enumeration date
10/03/2006
Last updated
12/07/2020
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