Individual
DR. HERMANN W KAEBNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4003 KRESGE WAY, STE 100, LOUISVILLE, KY 40207-4652
(502) 897-5139
(502) 896-6218
Mailing address
4003 KRESGE WAY, STE 100, LOUISVILLE, KY 40207-4652
(502) 897-5139
(502) 896-6218
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
21539
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64215395
—
KY
Enumeration date
06/09/2005
Last updated
01/14/2008
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