Healthcare Provider Details

I. General information

NPI: 1053377291
Provider Name (Legal Business Name): JANELL SEEGER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2006
Last Update Date: 05/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4950 NORTON HEALTHCARE BLVD SUITE 300
LOUISVILLE KY
40241-2845
US

IV. Provider business mailing address

315 E BROADWAY
LOUISVILLE KY
40202-1703
US

V. Phone/Fax

Practice location:
  • Phone: 502-394-6350
  • Fax: 502-394-6363
Mailing address:
  • Phone: 502-629-2500
  • Fax: 502-629-3166

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number20461
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: