Individual
DIANA HAMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
530 S JACKSON ST, LOUISVILLE, KY 40202
(502) 852-5851
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0330
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0440137
KS
207L00000X
Anesthesiology Physician
Primary
51709
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300019517
—
IN
01
—
51709
LICENSE
KY
01
—
K274310
MEDICARE
KY
Enumeration date
06/25/2013
Last updated
09/12/2019
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