in Louisville - General Practice

- NPI 1174733091

is a General Practice in Louisville, Kentucky. practices all healthcare services and medical treatments related to General Practice. The NPI Number for is 1174733091. The last update date is .

's current location address is 1440 Saint James Ct, Louisville, Kentucky. You can contact this provider via phone number 7196506521. The mailing address for is 1440 Saint James Ct, Louisville, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 1440 Saint James Ct, Louisville, Kentucky
Phone Number 7196506521
Fax Number
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1174733091
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 1440 Saint James Ct
City Louisville
State Kentucky (KY)
Post Code 402085115
Phone Number 7196506521
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 163Wg0000X
Licence No 130162
Definition:
A registered nurse who provides general nursing care across health settings.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
98237055 CO --

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