NPI 1003226465

Heron Baumgarten

Practitioner Surgery Physician Louisville, KY

Practice location

Address: 231 E Chestnut St, Louisville, KY 40202-1821
Phone: (502) 588-0390
Fax: (502) 588-0396
Mailing address: PO Box 776879, Chicago, IL 60677-6879

Registered specialties (2)

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 55207 (KY)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1003226465
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 May 2014
Record last updated: 25 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.