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Individual

MR. DARWIN KEITH EDWARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
221 S PRESTON ST, LOUISVILLE, KY 40202-1223
(502) 589-1980
(502) 589-1982
Mailing address
221 S PRESTON ST, LOUISVILLE, KY 40202-1223
(502) 589-1980
(502) 589-1982

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
18790
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000054003
INDIVIDUAL
KY
01
000000061816
GROUP
KY
01
000000062006
INDIVIDUAL AND GROUP
KY
01
1130651
INDIVIDUAL AND GROUP
KY
01
2433194000
GROUP
KY
01
2433239000
INDIVIDUAL
KY
05
37000130
KY
Enumeration date
03/13/2007
Last updated
03/10/2008
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