Provider Demographics
NPI:1891010336
Name:DENNISON, EMILY JANE HEMBERGER (MD)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:JANE HEMBERGER
Last Name:DENNISON
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 1:2053 DOUGLASS BLVD
Mailing Address - Street 2:UNIT #3
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40205-1953
Mailing Address - Country:US
Mailing Address - Phone:502-432-5887
Mailing Address - Fax:
Practice Address - Street 1:2053 DOUGLASS BLVD
Practice Address - Street 2:UNIT #3
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40205-1953
Practice Address - Country:US
Practice Address - Phone:502-432-5887
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-27
Last Update Date:2010-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program