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Organization
SURGICAL ASSISTANTS OF LOUISVILLE, PLLC
Active
Organization
SURGICAL ASSISTANTS OF LOUISVILLE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SEAN F MARTINDALE APRN (OWNER)
(502) 819-5593
Entity
Organization
Contact information
Practice address
3550 RAMONA AVE, LOUISVILLE, KY 40220-2440
(502) 819-5593
(502) 713-7720
Mailing address
3550 RAMONA AVE, LOUISVILLE, KY 40220-2440
(502) 819-5593
(502) 713-7720
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
28143085A
IN
363LF0000X
Family Nurse Practitioner
Primary
28143085A
IN
Other
Enumeration date
05/24/2016
Last updated
05/24/2016
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