Craig Boren

NPI 1528391554 - Social Worker - 1041C0700X

NPI Details
NPI 1528391554
Gender Male
Enumeration Date 09/09/2009
Last Updated 01/16/2013
Entity Type Individual
Active Over 7 years ago
Practice Location
130 S JOE B HALL AVE
SHEPHERDSVILLE KY, 40165-0690, US
Phone (502) 589-8600
Fax (502) 589-8771
Business Location
101 W MUHAMMAD ALI BLVD
LOUISVILLE KY, 40202-1423, US
Phone
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Kentucky
License Number 3732
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According to our database, Craig Boren NPI is 1528391554, taxonomy code is 1041C0700X and license number is 3732, license state is located at Kentucky. Craig Boren physically located at 130 S Joe B Hall Ave, Shepherdsville KY, 40165-0690. NPI Number Craig Boren has the Individual type.

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1528391554 NPI number is provided on an as is basis without warranty of any kind. 1528391554 is maintained by the National Plan & Provider Enumeration System. The contents of Craig Boren are for informational purposes only.