Provider Demographics
NPI:1750559233
Name:HOUSER, MOLLY V (MD, CDE)
Entity type:Individual
Prefix:DR
First Name:MOLLY
Middle Name:V
Last Name:HOUSER
Suffix:
Gender:F
Credentials:MD, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4071 TATES CREEK CENTRE DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40517-3062
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1700 NICHOLASVILLE RD
Practice Address - Street 2:SUITE 703
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-1431
Practice Address - Country:US
Practice Address - Phone:859-260-4390
Practice Address - Fax:859-260-4399
Is Sole Proprietor?:No
Enumeration Date:2008-02-18
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008010217207VM0101X
KY44607207VM0101X
TN46040207VM0101X
IN01071699A207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000727424OtherANTHEM - NMFM
KY128445OtherSIHO - NMFM
KY50034669OtherPASSPORT - NMFM
KY7100179800Medicaid
IN201035550Medicaid
IN201035550Medicaid
KYK014770Medicare PIN