Individual
IVAN PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3900 KRESGE WAY STE 60, LOUISVILLE, KY 40207-4690
(502) 893-7710
(502) 893-1391
Mailing address
3900 KRESGE WAT, SUITE 60, LOUISVILLE, KY 40207
(502) 893-7710
(502) 893-1391
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
TP957
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2015
Last updated
07/22/2022
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