Avanesov, Karen

Avanesov, Karen is an sole proprietor health care provider with primary practice located at 210 E Gray St Suite 900, Louisville KY 40202-3900. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine is his primary health care specialty. Avanesov, Karen can be contacted via phone (502) 584-7525.

Contact Information

Primary practice address
210 E Gray St Suite 900 Louisville KY 40202-3900
Phone: (502) 584-7525
Fax: (502) 584-6851
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 238138 New York
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 03167 Kentucky
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 238138 New York
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 238138 New York

Profile Details

NPI number 1629014675
LBN Legal business name Avanesov, Karen
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2006
Last updated Jul 6th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629014675 NPPES
Kentucky Other 3740627000 PASSPORT ADVANTAGE- NORTON LEATHERMAN SPINE CENTER
Kentucky MEDICAID 7100084130 PASSPORT ADVANTAGE- NORTON LEATHERMAN SPINE CENTER
Kentucky Other 50025970 PASSPORT ADVANTAGE- NORTON LEATHERMAN SPINE CENTER
Kentucky Other 200952070 PASSPORT ADVANTAGE- NORTON LEATHERMAN SPINE CENTER
Kentucky Other 000000628579 PASSPORT ADVANTAGE- NORTON LEATHERMAN SPINE CENTER
Kentucky Other 000051983P PASSPORT ADVANTAGE- NORTON LEATHERMAN SPINE CENTER
Kentucky Other 00533170 PASSPORT ADVANTAGE- NORTON LEATHERMAN SPINE CENTER
Kentucky Other 200952070 PASSPORT ADVANTAGE- NORTON LEATHERMAN SPINE CENTER
Kentucky MEDICAID 200952070 PASSPORT ADVANTAGE- NORTON LEATHERMAN SPINE CENTER

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