Kirtley, Louis R

Kirtley, Louis R is an individual health care provider with primary practice located at 4130 Dutchmans Ln Ste 400, Louisville KY 40207-4711. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Kirtley, Louis R can be contacted via phone (502) 897-0697.

Contact Information

Primary practice address
4130 Dutchmans Ln Ste 400 Louisville KY 40207-4711
Fax: (502) 897-0658
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 20700 Kentucky

Profile Details

NPI number 1578568739
LBN Legal business name Kirtley, Louis R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Jun 20th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578568739 NPPES
Kentucky MEDICAID 64207004
Kentucky Other 0700073
Kentucky Other 160032458
Kentucky Other P01140466
Kentucky Other 1063797
Kentucky Other 50036613

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