2022 LLC
Organization (NPI-2)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1821809153- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 700 GAGEL AVE, LOUISVILLE, KY, 402164008
- Phone
- (502) 963-5516
- Fax
- (502) 963-5704
Specialties & Taxonomies
Nurse Practitioner, Primary Care
Nurse Practitioner, Family
Primary