Dunaway, Leslie Joseph

Dunaway, Leslie Joseph is an individual health care provider with primary practice located at 10216 Taylorsville Rd Ste 400, Louisville KY 40299-3616. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dunaway, Leslie Joseph can be contacted via phone (502) 267-5456.

Contact Information

Primary practice address
10216 Taylorsville Rd Ste 400 Louisville KY 40299-3616
Fax: (502) 267-5488
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 23379 Kentucky

Profile Details

NPI number 1427052158
LBN Legal business name Dunaway, Leslie Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated May 19th, 2011 - about 13 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 1427052158 NPPES
Kentucky MEDICAID 64233794
Kentucky Other 50032124
Kentucky Other 000000708708

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