Individual
DR. DAVID MCCONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6641 DIXIE HWY, LOUISVILLE, KY 40258-3909
(502) 364-0902
(502) 364-0099
Mailing address
6641 DIXIE HWY, LOUISVILLE, KY 40258-3909
(502) 364-0902
(502) 364-0099
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01082756A
IN
207X00000X
Orthopaedic Surgery Physician
50001
KY
207XS0117X
Orthopaedic Surgery of the Spine Physician
01082756A
IN
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
50001
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962713362
—
NC
05
—
300038268
—
IN
05
—
7100485900
—
KY
Enumeration date
06/30/2010
Last updated
12/21/2021
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