KENTUCKIANA COLON AND RECTAL SURGERY, PLLC
Organization (NPI-2)
Active
Colon & Rectal Surgery
Provider Information
- NPI Number
1619908613- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 4121 DUTCHMANS LN SUITE 515, LOUISVILLE, KY, 402074737
- Phone
- (502) 583-8005
Specialties & Taxonomies
Nurse Practitioner
Colon & Rectal Surgery
Primary License: KY #30849