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Family Medicine Physician

NPI: 1114064912Organization

Specialties, Licenses & Credentials

Family Medicine — Geriatric Medicine

Code: 207QG0300X

Nurse Practitioner — Family

Code: 363LF0000X

Family Medicine

Code: 207Q00000X

Contact & Hours

Address
501 E BROADWAY, STE 120
LOUISVILLE, KY 40202

Quick Facts

NPI
1114064912
Entity Type
Organization
Medicare
Not confirmed
Specialties
3
Locations
1

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