Organization
DONALD B KATZ MD LLC
Active
Organization
DONALD B KATZ MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERI RUSSELL CPC (CREDENTIALING REP)
(502) 727-7636
Entity
Organization
Contact information
Practice address
4121 DUTCHMANS LN, SUITE 101, LOUISVILLE, KY 40207-4707
(502) 897-2531
(502) 896-5863
Mailing address
4121 DUTCHMANS LN, SUITE 101, LOUISVILLE, KY 40207-4707
(502) 897-2531
(502) 896-5863
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
13477
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114934445
INDIVIDUAL NPI
KY
Enumeration date
02/12/2010
Last updated
02/12/2010
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