Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 45759 | KY |
N | 111NI0900X | Internist | 45759 | KY |
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 45759 | KY |
Y | 207RC0000X | Internist - Cardiovascular Disease | 45759 | KY |
NPI | 1083870588 |
---|---|
Provider Name | Dr. Kenneth Rasalan Dulnuan |
First Address | Louisville, KY 40201-0909 |
Second Address | Louisville, KY 40202-5703 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2008 |
Last Update Date | 01/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
300016626 | (05) | IN |
7100273980 | (05) | KY |