Individual
DENNIS F KINLAW JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 W MARKET ST, LOUISVILLE, KY 40212-1541
(502) 778-8400
(502) 996-8309
Mailing address
PO BOX 950244, LOUISVILLE, KY 40295-0244
(502) 953-4799
(502) 953-4798
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
19554
KY
207Q00000X
Family Medicine Physician
Primary
19554
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000049537
BLUE CROSS FACET ID
KY
Enumeration date
09/20/2006
Last updated
01/25/2023
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