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NPI Code Detail

MEDICARE: APRIL D HALLERON M.D.

MEDICARE: APRIL D HALLERON M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician46188KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720306582
Entity Type Code : Individual
Provider Name (Legal Business Name) : APRIL D HALLERON M.D.
Provider Business Mailing Address
First Line : 2700 STANLEY GAULT PKWY STE 129
Second Line :
City : LOUISVILLE
State : KY
Zip : 40223-5176
Country : US
Telephone Number : 502-253-4900
Fax Number : 502-489-5751
Provider Business Practice Location Address
First Line : 4423 BARDSTOWN RD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40218-3235
Country : US
Telephone Number : 502-495-2400
Fax Number : 502-495-6345
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2010
Last Update Date : 05/21/2019

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