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NPI Verification

National Provider Identifier: 1306882170

Mary T Self, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Practice Address

6400 DUTCHMANS PKWY STE 345

LOUISVILLE, KY 402053370

Phone: 502-587-6010

NPI Enumeration Date

June 21, 2006

NPI Number

1306882170

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry