Individual
DR. VARANISE COLBERT BOOKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M,D.
Contact information
Practice address
302 E BRECKINRIDGE ST, LOUISVILLE, KY 40203-2328
(502) 777-7708
(502) 561-1113
Mailing address
302 E BRECKINRIDGE ST, LOUISVILLE, KY 40203-2328
(502) 777-7708
(502) 561-1113
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
33923
KY
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
33923
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64053523
—
KY
Enumeration date
02/13/2007
Last updated
12/28/2010
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