Provider Demographics
NPI:1023199064
Name:HONAKER, CHRISTIN E (MD)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTIN
Middle Name:E
Last Name:HONAKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 E LIBERTY ST STE 800
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-1428
Mailing Address - Country:US
Mailing Address - Phone:502-589-3844
Mailing Address - Fax:502-589-0516
Practice Address - Street 1:201 ABRAHAM FLEXNER WAY
Practice Address - Street 2:SUITE 904
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-3841
Practice Address - Country:US
Practice Address - Phone:502-589-3844
Practice Address - Fax:502-589-0516
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2018-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY32920207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
5773663OtherAETNA
KY64329204Medicaid
000000311833OtherANTHEM
KY64329204Medicaid
G8522Medicare UPIN
5773663OtherAETNA