Individual
DR. YELENA G VANINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10510 LAGRANGE RD, LOUISVILLE, KY 40223-1277
(502) 253-7134
Mailing address
10510 LAGRANGE RD, LOUISVILLE, KY 40223-1277
(502) 253-7134
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
IP598
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200497880
—
IN
05
—
3402727
—
KY
Enumeration date
05/11/2006
Last updated
12/09/2020
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