person
John W Derr JR., MD
Specialist in Louisville, Kentucky
NPI 1801883988

John W Derr JR. is a Specialist based in Louisville, KY. John W Derr JR. practices in Louisville, KY and has the professional credentials of MD. The NPI Number for John W Derr JR. is 1801883988 and holds a License No. 25991 (Kentucky).

The current practice location address for John W Derr JR. is 4001 Kresge Way, Louisville, KY and can be reached out via phone at 502-895-5850 and via fax at 502-895-1210.

Location: 4001 Kresge Way, Louisville, KY, 40207-4640
person
Provider Profile Details
NPI Number
1801883988
Provider Name
John W Derr JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4001 Kresge Way, Louisville, KY, 40207-4640
Phone Number
502-895-5850
Fax Number
502-895-1210
Provider Enumeration Date
10/04/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100345240B 05 IN
64259914 05 KY
institution
Provider Business Practice Location Address Details
Address
4001 Kresge Way
City
State
Zip
40207-4640
Phone Number
502-895-5850
Fax Number
502-895-1210
person
Provider Business Mailing Address Details
Address
4001 Kresge Way
City
State
Zip
40207-4640
Phone Number
502-895-5850
Fax Number
502-895-1210
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
25991 (Kentucky)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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