Individual
DR. DIANA G IRVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3950 KRESGE WAY, SUITE 303, LOUISVILLE, KY 40207-4637
(502) 896-1880
(502) 896-1887
Mailing address
PO BOX 950248, LOUISVILLE, KY 40295-0248
(502) 489-5730
(502) 489-5753
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
32690
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64326903
—
KY
Enumeration date
01/30/2007
Last updated
01/26/2015
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