Dr. Derek A Damin
Allergist & Immunologist
163 South English Station Road
Louisville
, Kentucky 40245-3996
Dr. Derek A Damin
Allergist & Immunologist
163 South English Station Road
Louisville
, Kentucky 40245-3996
(828) 350-2174
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About
Features
Specialties
- Allergist & Immunologist
Languages spoken
- English
Location
First Address
- Dr. Derek A Damin
- Po Box 603725
- Charlotte, NC
- Zip : 28260-3725
- Fax : (828) 350-2174
- Phone : (828) 575-2625
Second Address
- Dr. Derek A Damin
- 163 South English Station Road
- Louisville, KY
- Zip : 40245-3996
- Fax : (502) 882-2067
- Phone : (502) 882-2063
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207K00000X | Allergist & Immunologist | 35810 | KY |
National Provider Identifier
| NPI | 1003809724 |
|---|---|
| Provider Name | Dr. Derek A Damin |
| First Address | Charlotte, NC 28260-3725 |
| Second Address | Louisville, KY 40245-3996 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/08/2005 |
| Last Update Date | 09/05/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000333950 | ANTHEM PIN (01) | KY |
| 295345 | HARMONY (01) | IN |
| 50005296 | PASSPORT (01) | KY |
| 64087174 | (05) | KY |
| K093420 | MEDICARE PTAN (01) | KY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.