MIKAYLA MASON DENNISON
Individual Provider (NPI-1)
Active
Family Medicine, Hospice and Palliative Medicine
Provider Information
- NPI Number
1942940879- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 3 AUDUBON PLAZA DR STE 610, LOUISVILLE, KY, 402171362
- Phone
- (502) 636-8334
- Fax
- (502) 636-8269
Specialties & Taxonomies
Family Medicine, Hospice and Palliative Medicine
Primary License: KY #06357
Internal Medicine
License: KY #06357
Student in an Organized Health Care Education/Training Program