Individual
DR. KATHY J VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
120 W MARKET ST, LOUISVILLE, KY 40202-1332
(502) 585-2020
(502) 585-1797
Mailing address
120 W MARKET ST, LOUISVILLE, KY 40202-1332
(502) 585-2020
(502) 585-1797
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1051DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410036412
RAILROAD MEDICARE
KY
05
—
77010510
—
KY
Enumeration date
05/30/2006
Last updated
05/14/2008
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