Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | P2294 | TX |
Y | 207VE0102X | Reproductive Endocrinologist | 48901 | KY |
NPI | 1043535693 |
---|---|
Provider Name | Merry Lynn Mann |
First Address | Louisville, KY 40201-0909 |
Second Address | Louisville, KY 40202-1622 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2010 |
Last Update Date | 25/01/2017 |