MEDICARE: DR. DONALD EDWARD FEENEY JR D. 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
1	1223G0001X	General Practice Dentistry	5925	KY

General Provider Information

NPI Number	:	1942299672
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DONALD EDWARD FEENEY JR D. M. D.

Provider Business Mailing Address
First Line	:	1169 EASTERN PKWY
Second Line	:	SUITE 1152 MEDICAL ARTS BUILDING
City	:	LOUISVILLE
State	:	KY
Zip	:	40217-1417
Country	:	US
Telephone Number	:	502-458-1251
Fax Number	:

Provider Business Practice Location Address
First Line	:	1169 EASTERN PKWY
Second Line	:	SUITE 1152 MEDICAL ARTS BUILDING
City	:	LOUISVILLE
State	:	KY
Zip	:	40217-1417
Country	:	US
Telephone Number	:	502-458-1251
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/15/2005
Last Update Date	:	07/08/2007

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