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Individual

DR. JOE FRANKLIN ARTERBERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3999 DUTCHMANS LANE, SUITE LL-C, LOUISVILLE, KY 40207
(502) 561-0412
(502) 589-7801
Mailing address
3999 DUTCHMANS LANE, SUITE LL-C, LOUISVILLE, KY 40207
(502) 561-0412
(502) 589-7813

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
19046
KY
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
19046
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000068763
ANTHEM PROVIDER ID
KY
05
100008690A
IN
05
1051618
KY
01
611033826
TAX IDENTIFICATION NUMBER
KY
05
64190465
KY
Enumeration date
07/03/2006
Last updated
05/15/2020
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