Alice C Gunnison PA C

NPI 1871571356 - Physician Assistant - 363A00000X

NPI Details
NPI 1871571356
Gender Female
Enumeration Date 01/05/2006
Last Updated 07/20/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
2406 WEST BROADWAY
JENCARE NEIGHBORHOOD MEDICAL CENTER WEST BROADWAY, LLC
LOUISVILLE KY, 40211, US
Phone (502) 775-1211
Fax (502) 775-1221
Business Location
2406 WEST BROADWAY
JENCARE NEIGHBORHOOD MEDICAL CENTER WEST BROADWAY, LLC
LOUISVILLE KY, 40211, US
Phone (502) 775-1211
Fax (502) 562-6777
Toxanomy
Taxonomy Code 363A00000X
License State Kentucky
License Number PA159
Remove 1871571356 NPI Number
 

According to our database, Alice C Gunnison PA C NPI is 1871571356, taxonomy code is 363A00000X and license number is PA159, license state is located at Kentucky. Alice C Gunnison PA C physically located at 2406 West Broadway, Louisville KY, 40211. NPI Number Alice C Gunnison PA C has the Individual type.

Sponsored links

1871571356 NPI number is provided on an as is basis without warranty of any kind. 1871571356 is maintained by the National Plan & Provider Enumeration System. The contents of Alice C Gunnison PA C are for informational purposes only.