Provider Demographics
NPI:1922034594
Name:CONATSER, DAVID G (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:G
Last Name:CONATSER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:480 HOPKINSVILLE ST
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42345-1124
Mailing Address - Country:US
Mailing Address - Phone:270-338-5777
Mailing Address - Fax:270-338-5765
Practice Address - Street 1:226 HOPKINSVILLE ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:KY
Practice Address - Zip Code:42345-1214
Practice Address - Country:US
Practice Address - Phone:270-377-3077
Practice Address - Fax:270-377-3002
Is Sole Proprietor?:No
Enumeration Date:2006-06-24
Last Update Date:2019-12-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY22471207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY31000458Medicaid
KY000000303875OtherANTHEM BCBS
KY000000303875OtherANTHEM BCBS
KY31000458Medicaid
KYC74738Medicare UPIN