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General NPI Number Information
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NPI Number | 1467451054
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Entity Type | Individual
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Provider Name | JOHN W. ARNETT M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/18/2005
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Last Update Date | 02/19/2021
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Provider Practice Location Address
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Address Line | 1720 W BROADWAY STE 107
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City | LOUISVILLE
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State | KY
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Zip | 40203-3607
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Country | US
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Telephone | 502-340-5900
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Fax | 502-394-3691
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Provider Business Mailing Address
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Address Line | 1720 W BROADWAY STE 107
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City | LOUISVILLE
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State | KY
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Zip | 40203-3607
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Country | US
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Telephone | 502-340-5900
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Fax | 502-394-3691
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 19467
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License Number State | KY
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