Easley, David Preston

Easley, David Preston is an sole proprietor health care provider with primary practice located at 1357 Bardstown Rd , Louisville KY 40204-1353. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Easley, David Preston can be contacted via phone (502) 897-6443.

Contact Information

Primary practice address
1357 Bardstown Rd Louisville KY 40204-1353
Phone: (502) 897-6443
Fax: (502) 963-5237
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X 22832 Kentucky
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 22832 Kentucky
Allopathic & Osteopathic Physicians / Pain Medicine 2084P2900X 22832 Kentucky
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 22832 Kentucky

Profile Details

NPI number 1942383641
LBN Legal business name Easley, David Preston
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2006
Last updated Oct 10th, 2023 - about 2 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 1942383641 NPPES
Kentucky MEDICAID 64228323

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