Most Relevant Information
Provider Data
| NPI Number: | 1003809724 |
| Provider Name: | DEREK A DAMIN MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207K00000X |
| Specialty: | Allergy & Immunology |
| License Number: | 35810 |
Most Important Dates
| Enumeration Date: | 08/29/2005 |
| Last Updated: | 05/14/2024 |
Provider Practice Location
163 SOUTH ENGLISH STATION ROAD
LOUISVILLE
KY
402453996
Practice Location Phone/Fax
| Phone: | 5028822063 |
| Fax: | 5028822067 |
Provider Mailing Location
PO BOX 603725
CHARLOTTE
NC
282603725
Provider Mailing Phone/Fax
| Phone: | 8285752625 |
| Fax: | 8283502174 |