Healthcare Provider Details

I. General information

NPI: 1245262427
Provider Name (Legal Business Name): DONNA L PLEIMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DONNA LYNN SMITH M.D.

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 09/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 COURTHOUSE CROSSING
INDEPENDENCE KY
41051
US

IV. Provider business mailing address

PO BOX 635283
CINCINNATI OH
45263-5283
US

V. Phone/Fax

Practice location:
  • Phone: 859-356-6800
  • Fax: 859-363-4073
Mailing address:
  • Phone: 859-356-6800
  • Fax: 859-363-4073

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number01052891A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberTP506
License Number StateKY
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number45391
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: