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Organization
SKG HEALTH PLLC
Active
Organization
SKG HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON GAGLIARDI APRN (OWNER)
(502) 830-0321
Entity
Organization
Contact information
Practice address
5516 RANDOM WAY, LOUISVILLE, KY 40291-1822
(502) 830-0321
Mailing address
5516 RANDOM WAY, LOUISVILLE, KY 40291-1822
(502) 830-0321
(866) 902-0669
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3006941
STATE LICENSE
KY
Enumeration date
04/21/2021
Last updated
04/30/2021
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