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Individual

EDWARD L FIELDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1930 BISHOP LN, SUITE 1600, LOUISVILLE, KY 40218-1921
(502) 272-5034
(502) 272-5117
Mailing address
PO BOX 950202, LOUISVILLE, KY 40295-0202
(502) 588-9490
(502) 272-5116

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
19561
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000381942
ANTHEM
KY
01
P00305278
RAILROAD MEDICARE
Enumeration date
04/21/2006
Last updated
10/31/2014
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