Provider Demographics
NPI:1467451054
Name:ARNETT, JOHN W (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:W
Last Name:ARNETT
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:1720 W BROADWAY STE 107
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40203-3607
Mailing Address - Country:US
Mailing Address - Phone:502-340-5900
Mailing Address - Fax:502-394-3691
Practice Address - Street 1:1720 W BROADWAY STE 107
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40203-3607
Practice Address - Country:US
Practice Address - Phone:502-340-5900
Practice Address - Fax:502-394-3691
Is Sole Proprietor?:No
Enumeration Date:2005-07-18
Last Update Date:2021-02-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY19467207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64194673Medicaid
D08122Medicare UPIN
KY0756906Medicare ID - Type Unspecified