Individual
DENNIS HAVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1720 NICHOLASVILLE RD STE 502, LEXINGTON, KY 40503-1487
(859) 277-7129
Mailing address
5200 COMMERCE CROSSINGS DR, LOUISVILLE, KY 40229-2182
(502) 493-7200
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
15324
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64153240
—
KY
Enumeration date
06/07/2006
Last updated
03/11/2021
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