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Provider Information for 1942443502

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. CHRISTOPHER MYERS LENEAVE D.M.D.

Gender: MALE

Individual NPI: 1942443502

Calendar   Last Updated:  2015-05-29
  Certification Date: 

Details

Name Value
NPI 1942443502
Enumeration Date 2009-04-13
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 3000 BRECKENRIDGE LN
LOUISVILLE, KY 40220-2130
United States

Phone: 502-499-9999 | Fax:
View Map External Link
Primary Practice Address 3000 BRECKENRIDGE LN
LOUISVILLE, KY 40220-2130
United States

Phone: 502-499-9999 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist KY 6641