| Dr Kristi Lea Havener, MD | |
|
571 S Floyd St, Ste 342, Louisville, KY 40202-3818 | |
| (502) 852-8470 | |
| Not Available |
| Full Name | Dr Kristi Lea Havener |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Neonatal-perinatal Medicine |
| Location | 571 S Floyd St, Louisville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407070402 | NPI | - | NPPES |
| 201199020 | Medicaid | IN | |
| 50051071 | Other | KY | PASSPORT |
| 7100130320 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 43548 (Kentucky) | Primary |
| Entity Name | Norton Childrens Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457999096 PECOS PAC ID: 3779917596 Enrollment ID: O20200102000758 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kristi Lea Havener, MD Po Box 909, Louisville, KY 40201-0909 Ph: (317) 513-9159 | Dr Kristi Lea Havener, MD 571 S Floyd St, Ste 342, Louisville, KY 40202-3818 Ph: (502) 852-8470 |
Dr. Kendra Stratton Cloyd, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3026 Poplar Level Rd, Louisville, KY 40217 Phone: 502-636-4929 | |
Meredith Kay Irwin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Mallard Creek Rd Ste 395, Louisville, KY 40207 Phone: 502-895-9421 Fax: 502-899-5762 | |
Julia E Richerson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2215 Portland Ave, Louisville, KY 40212 Phone: 502-774-8631 Fax: 502-776-8912 | |
Pradip D Patel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9702 Stonestreet Rd, Ste 100, Louisville, KY 40272 Phone: 502-588-0610 Fax: 502-588-0611 | |
Patricia Gail Williams, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 411 E Chestnut St, Louisville, KY 40202 Phone: 502-588-0850 Fax: 502-588-0861 | |
Teresa Crase, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9880 Angies Way, Ste. 400, Louisville, KY 40241 Phone: 502-394-6500 | |
Dr. Kenneth N Schikler, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 411 E Chestnut St # Street3, Louisville, KY 40202 Phone: 502-588-4910 Fax: 502-588-9554 |