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Individual

VILMA C FABRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2211 GREENE WAY, STE 100, LOUISVILLE, KY 40220-4076
(502) 495-1162
(502) 495-0156
Mailing address
2211 GREENE WAY STE 100, LOUISVILLE, KY 40220-4077
(502) 495-1162
(502) 495-0165

Taxonomy

Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
26062
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200133100
IN
05
64260623
KY
Enumeration date
12/15/2005
Last updated
08/27/2020
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