Provider Demographics
NPI:1366561029
Name:EISNER, MOLLY G (MD)
Entity type:Individual
Prefix:DR
First Name:MOLLY
Middle Name:G
Last Name:EISNER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:7766 EWING BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:FLORENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41042-7537
Mailing Address - Country:US
Mailing Address - Phone:859-283-1033
Mailing Address - Fax:859-283-1066
Practice Address - Street 1:7766 EWING BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-7537
Practice Address - Country:US
Practice Address - Phone:859-283-1033
Practice Address - Fax:859-283-1066
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2016-09-13
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Provider Licenses
StateLicense IDTaxonomies
KY34880207N00000X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
2160250OtherAETNA ID
03-00502OtherUNITED HEALTHCARE ID
000000074016OtherANTHEM ID
2160250OtherAETNA ID
000000074016OtherANTHEM ID