Individual
DR. MARY LYNELL CHAMBERLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 W MARKET ST, SUITE 2, LOUISVILLE, KY 40202-1332
(502) 587-8000
(502) 583-8001
Mailing address
100 W MARKET ST, SUITE 2, LOUISVILLE, KY 40202-1332
(502) 587-8000
(502) 583-8001
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
01050342A
IN
207RP1001X
Pulmonary Disease Physician
Primary
23296
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000191500
ANTHEM
KY
05
—
64232960
—
KY
Enumeration date
07/07/2006
Last updated
12/21/2007
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