Individual
BROOKE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
312 WHITTINGTON PKWY STE 200, LOUISVILLE, KY 40222-4925
(502) 615-9286
(502) 429-1255
Mailing address
1351 NEWTOWN PIKE BLDG 1, LEXINGTON, KY 40511-1277
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/21/2023
Last updated
06/17/2024
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