Registry details
Type
Individual
Primary specialty
Internal Medicine
Enumerated
Apr 22, 2016
License(s)
TP782 (KY), 51788 (KY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 909 | Louisville, KY 40201-0909 | 502-587-4267 |
| LOCATION | 201 ABRAHAM FLEXNER WAY STE 905 | Louisville, KY 40202-3803 | 502-587-4267 |
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