Individual
DAVID PRESTON EASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1357 BARDSTOWN RD, LOUISVILLE, KY 40204-1353
(502) 897-6443
(502) 963-5237
Mailing address
1213 OLD CANNONS LN, LOUISVILLE, KY 40207-4307
(502) 905-8306
(502) 897-3461
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
22832
KY
2084P0802X
Addiction Psychiatry Physician
22832
KY
2084P0805X
Geriatric Psychiatry Physician
22832
KY
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
22832
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64228323
—
KY
Enumeration date
10/24/2006
Last updated
10/10/2023
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