MEDICARE: MR. DONALD KEITH FRENCH LMFT

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	106H00000X	Marriage & Family Therapist	KY-0627	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PHCP038678	OTHER	KY	CPH & ASSOCIATES

General Provider Information

NPI Number	:	1518008515
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DONALD KEITH FRENCH LMFT

Provider Business Mailing Address
First Line	:	6414 GLENWOOD RD
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40222-6068
Country	:	US
Telephone Number	:	502-425-2546
Fax Number	:

Provider Business Practice Location Address
First Line	:	4229 BARDSTOWN RD
Second Line	:	CHRYSLER BUILDING, SUITE 311
City	:	LOUISVILLE
State	:	KY
Zip	:	40218-3241
Country	:	US
Telephone Number	:	502-499-8010
Fax Number	:

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

Provider Enumeration Date	:	02/11/2007
Last Update Date	:	12/01/2008

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