Individual
DAVID E MANN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6420 DUTCHMANS PKWY, SUITE 200, LOUISVILLE, KY 40205-3372
(502) 891-8300
(502) 891-8338
Mailing address
PO BOX 950202, LOUISVILLE, KY 40295-0202
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
38085
KY
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
38085
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000281778
ANTHEM PIN
KY
05
—
200447250A
—
IN
05
—
200447250F
—
IN
01
—
2442405000
PASSPORT ADVANTAGE PIN
KY
01
—
50000742
PASSPORT PIN
KY
05
—
64066905
—
KY
01
—
P00889597
RAILROAD MEDICARE
KY
Enumeration date
07/07/2006
Last updated
10/24/2012
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