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Brian T Beanblossom, MD
Cardiovascular Disease Physician in Louisville, Kentucky
NPI 1548298433

Brian T Beanblossom is a Cardiovascular Disease Physician based in Chicago, KY and is specialized in Cardiovascular Disease. Brian T Beanblossom practices in Louisville, KY and has the professional credentials of MD. The NPI Number for Brian T Beanblossom is 1548298433 and holds a License No. 28243 (Kentucky).

The current practice location address for Brian T Beanblossom is 6420 Dutchmans Pkwy, Louisville, KY and can be reached out via phone at 502-891-8300.

Location: 6420 Dutchmans Pkwy, Louisville, KY, 60677-6351
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548298433
Provider Name
Brian T Beanblossom
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
6420 Dutchmans Pkwy, Louisville, KY, 60677-6351
Phone Number
502-891-8300
Fax Number
Provider Enumeration Date
06/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000693025 01 KY ANTHEM - NCVA
200080790A 05 IN
P00889586 01 KY MEDICARE - RR - NCVA
1056108 01 KY PASSPORT PIN
64282437 05 KY
000057058X 01 KY HUMANA - NCVA
institution
Provider Business Practice Location Address Details
Address
6420 Dutchmans Pkwy
City
Louisville
State
Kentucky
Zip
40205-3372
Phone Number
502-891-8300
Fax Number
person
Provider Business Mailing Address Details
Address
6420 Dutchmans Pkwy
City
Louisville
State
Kentucky
Zip
40205-3372
Phone Number
502-891-8300
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
28243 (Kentucky)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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