Individual
DR. ELIZABETH ELLEN HARLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 ABRAHAM FLEXNER WAY, LOUISVILLE, KY 40202-2877
(502) 587-4011
(502) 587-4156
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0325
(502) 588-0326
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
47932
KY
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
MD60998085
WA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
47932
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201275170A-KOHMG
—
IN
05
—
7100334190
—
KY
01
—
K185361-KOHMG
MEDICARE
KY
01
—
P01652697RR-KOHMG
RR MEDICARE
KY
Enumeration date
04/02/2009
Last updated
04/14/2022
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