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Individual

DR. WAYNE GARCIA VILLANUEVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3900 KRESGE WAY, SUITE 51, LOUISVILLE, KY 40207-4660
(502) 891-8981
(502) 891-4548
Mailing address
PO BOX 950248, LOUISVILLE, KY 40295-0248
(502) 489-5730
(502) 489-5753

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
31793
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000193902
ANTHEM
KY
01
000000604904
ANTHEM - NNIKY
KY
01
000023035N
HUMANA - NNIKY
KY
01
00533105
MEDICARE - KY - NNIKY
KY
01
102723
SIHO - NNIKY
KY
01
1141292
PASSPORT
KY
01
140006424
RAILROAD MCR
KY
05
200088270
IN
01
3697391000
PASSPORT ADVTG - NNIKY
01
50022596
PASSPORT - NNIKY
KY
05
64317936
KY
01
8242027
CIGNA - NNIKY
KY
01
B06010
CUMBERLAND
KY
01
KY9351P
SIHO
KY
01
P00745281
RAILROAD MEDICARE KY - NNIKY
KY
Enumeration date
11/03/2005
Last updated
12/09/2020
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