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Individual

JAMES A. DIENES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1900 BLUEGRASS AVE, SUITE 300, LOUISVILLE, KY 40215-1144
(502) 361-1222
(502) 368-1258
Mailing address
6801 DIXIE HWY, SUITE 130, LOUISVILLE, KY 40258-3913
(502) 361-1222
(502) 368-1258

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20096
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64200967
KY
Enumeration date
05/31/2006
Last updated
11/24/2010
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