Individual
DR. COLLEEN DIETZ NAWAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 ZORN AVE, LOUISVILLE, KY 40206-1433
(502) 287-5105
Mailing address
8709 SUMMIT RIDGE DR, LOUISVILLE, KY 40241-1378
(502) 742-5110
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
33955
KY
Other
Enumeration date
07/22/2006
Last updated
07/08/2007
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