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A NEWCO LLC

Organization (NPI-2) Active

Nurse Practitioner, Psych/Mental Health

Provider Information

NPI Number
1285103937
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
1939 GOLDSMITH LN STE 100, LOUISVILLE, KY, 402183090
Phone
(502) 873-7517
Fax
(502) 365-2876

Specialties & Taxonomies

Psychiatry & Neurology, Addiction Medicine
Nurse Practitioner
Nurse Practitioner, Family
Nurse Practitioner, Psych/Mental Health Primary

All Addresses

LOCATION

1939 GOLDSMITH LN STE 100

LOUISVILLE, KY, 402183090

(502) 873-7517

MAILING

9462 BROWNSBORO RD # 357

LOUISVILLE, KY, 402411118

(502) 873-7517