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Contact Information

MAURINE WATERHOUSE, MD
4001 KRESGE WAY
SUITE 320
LOUISVILLE, KY40207-4640
 Phone: 502-895-5850
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
 

Plastic Surgery Within the Head and Neck

2082S0099X 02 Physician/General Surgery
 

Surgery of the Hand

2082S0105X 02 Physician/General Surgery
 

Surgery of the Hand

2086S0105X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MAURINE WATERHOUSE · (Female)

NPI # 1326192386
Status Active
Credentials MD
Entity Individual
Enumeration date 01/23/2007
Last updated 01/11/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 29987
  • KY Medicaid 64299878
  • KY Other 4330141 AETNA
  • KY Other 000000048443 BLUE CROSS
  • KY Other 1051840 PASSPORT
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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