Marietta E Enriquez in Louisville - Pediatrics

Marietta E Enriquez - NPI 1124099353

Marietta E Enriquez is a Pediatrics in Louisville, Kentucky. Marietta E Enriquez practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Marietta E Enriquez is 1124099353. The last update date is 2019-06-19.

Marietta E Enriquez's current location address is 3015 Wilson Ave, Louisville, Kentucky. You can contact this provider via phone number 5027744401 and fax number 5027728983. The mailing address for Marietta E Enriquez is 3015 Wilson Ave, Louisville, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Marietta E Enriquez
Address 3015 Wilson Ave, Louisville, Kentucky
Phone Number 5027744401
Fax Number 5027728983
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1124099353
Provider Enumeration Date 2006-01-27
Last Updated Date 2019-06-19

Provider Mailing Address Detail

Address 3015 Wilson Ave
City Louisville
State Kentucky (KY)
Post Code 402111969
Phone Number 5027744401
Fax Number 5027728983

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 22441
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
K215580 KY MEDICARE
64224413 KY --

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FAQs about Marietta E Enriquez

Could you please share the complete physical address where Marietta E Enriquez is geographically located?

The Marietta E Enriquez is physically situated at the following location: 3015 Wilson Ave, Louisville, KY, 402111969.

What is Marietta E Enriquez's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Marietta E Enriquez is Pediatrics, and the taxonomy code that classifies this field of practice is 208000000X.

When did Marietta E Enriquez receive its 1124099353 assignment?

The Marietta E Enriquez was assigned its 1124099353 on 2006-01-27, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Marietta E Enriquez last refreshed?

The information related to the Marietta E Enriquez, including its address, specialty, and other relevant details, was last updated on 2019-06-19.

When was the information regarding Marietta E Enriquez, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Marietta E Enriquez, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-06-19.

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