Healthcare Provider Details

I. General information

NPI: 1376691428
Provider Name (Legal Business Name): FRANK PATRICK VANNIER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3430 NEWBURG RD SUITE 106
LOUISVILLE KY
40218-2497
US

IV. Provider business mailing address

3430 NEWBURG RD SUITE 106
LOUISVILLE KY
40218-2497
US

V. Phone/Fax

Practice location:
  • Phone: 502-451-1100
  • Fax: 502-451-1181
Mailing address:
  • Phone: 502-451-1100
  • Fax: 502-451-1181

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083P0500X
TaxonomyPreventive Medicine/Occupational Environmental Medicine Physician
License Number19630
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number19630
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: