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Individual

DR. KEVIN WAYNE PARROTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3900 KRESGE WAY STE 60, LOUISVILLE, KY 40207
(502) 893-7710
(502) 893-1884
Mailing address
5200 COMMERCE CROSSINGS DR FL 3, LOUISVILLE, KY 40229-2182
(502) 253-4924
(502) 489-5750

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
46221
KY
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
46221
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01080452A
MEDICAL LICENSE
IN
01
46221
MEDICAL LICENSE
KY
05
7100546040
KY
Enumeration date
04/27/2010
Last updated
12/07/2020
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