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Organization
VAACA OF KENTUCKY PSC
Active
Organization
VAACA OF KENTUCKY PSC
Active
Other names
Allergy Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BECKY LEE NOAH CMM (PRACTICE ADMINISTRATOR)
(502) 635-6937
Entity
Organization
Contact information
Practice address
1261 GOSS AVE, LOUISVILLE, KY 40217-1239
(502) 635-6937
(502) 634-3926
Mailing address
1261 GOSS AVE, LOUISVILLE, KY 40217-1239
(502) 635-6937
(502) 634-3926
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
NULL
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Enumeration date
10/23/2006
Last updated
08/02/2016
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