Individual
SUZANNE ERINN KINGERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
601 S FLOYD ST, STE 403, LOUISVILLE, KY 40202-1837
(502) 588-3400
(502) 588-3401
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-3400
(502) 588-3401
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35091161
OH
208000000X
Pediatrics Physician
44436
KY
2080P0205X
Pediatric Endocrinology Physician
Primary
44436
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201029350
—
IN
05
—
7100171460
—
KY
Enumeration date
02/01/2007
Last updated
10/23/2020
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