# A-LIST MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295550135
- **Authorized official:** ELAINA BURKS (COO)
- **Authorized official phone:** (502) 417-8600

## Contact information

- **Practice address:** 3841 RUCKRIEGEL PKWY STE 104, LOUISVILLE, KY 40299-3986
- **Practice address phone:** (502) 417-8600
- **Mailing address:** 3008 CHRISTIANA WOODS CT STE 100, LOUISVILLE, KY 40299-2903
- **Mailing address phone:** (502) 780-1418

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/16/2024
- **Last updated:** 11/20/2024