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Organization
EASTPOINT RECOVERY PLLC
Active
Organization
EASTPOINT RECOVERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA L CLEMENS (CREDENTIALING COORDINATOR)
(502) 489-4302
Entity
Organization
Contact information
Practice address
13113 EASTPOINT PARK BLVD STE C, LOUISVILLE, KY 40223-4191
(502) 245-7258
(502) 489-5552
Mailing address
13113 EASTPOINT PARK BLVD STE C, LOUISVILLE, KY 40223-4191
(502) 245-7258
(502) 489-5552
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Enumeration date
04/04/2019
Last updated
04/04/2019
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