Vaaca Of Kentucky Psc

NPI 1114000478 - Allergy & Immunology - 207K00000X

NPI Details
NPI 1114000478
Enumeration Date 10/23/2006
Last Updated 12/06/2013
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BECKY LEE BECKY
Position PRACTICE ADMINISTRATOR
Phone (502) 635-6937
Fax (502) 634-3926
Practice Location
1261 GOSS AVE
LOUISVILLE KY, 40217-1239, US
Phone (502) 635-6937
Fax (502) 634-3926
Business Location
1261 GOSS AVE
LOUISVILLE KY, 40217-1239, US
Phone (502) 635-6937
Fax (502) 634-3926
Toxanomy
Taxonomy Code 207K00000X
License State
License Number
Remove 1114000478 NPI Number
 

According to our database, Vaaca Of Kentucky Psc NPI is 1114000478, taxonomy code is 207K00000X Vaaca Of Kentucky Psc physically located at 1261 Goss Ave, Louisville KY, 40217-1239. NPI Number 1033115704 has the healthcare provider type.

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1114000478 NPI number is provided on an as is basis without warranty of any kind. 1114000478 is maintained by the National Plan & Provider Enumeration System. The contents of Vaaca Of Kentucky Psc are for informational purposes only.