Provider Demographics
NPI:1205838133
Name:ARNOLD, DANIEL LEE (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:LEE
Last Name:ARNOLD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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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:502-447-3242
Mailing Address - Fax:502-448-4722
Practice Address - Street 1:5129 DIXIE HWY
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40216-1727
Practice Address - Country:US
Practice Address - Phone:502-447-3242
Practice Address - Fax:502-448-4722
Is Sole Proprietor?:No
Enumeration Date:2005-08-11
Last Update Date:2018-03-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY24382207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY00546073Medicare Oscar/Certification
KYC73722Medicare UPIN
KYP00298529Medicare PIN