Individual
DR. DALE HENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2323 LIME KILN LN, LOUISVILLE, KY 40222-3416
(502) 389-8000
Mailing address
2323 LIME KILN LN, LOUISVILLE, KY 40222-3416
(502) 389-8000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
24054
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64240542
—
KY
Enumeration date
05/11/2006
Last updated
07/08/2007
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