Individual
LOUIS R KIRTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4130 DUTCHMANS LN, STE 400, LOUISVILLE, KY 40207-4711
(502) 897-0697
(502) 897-0658
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
20700
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0700073
UNITED HEALTHCARE
KY
01
—
1063797
PASSPORT
KY
01
—
160032458
RAILROAD
KY
01
—
50036613
PASSPORT - WS
KY
05
—
64207004
—
KY
01
—
P01140466
MEDICARE RR - WS
KY
Enumeration date
06/15/2005
Last updated
06/20/2019
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