Individual
SETH TRAVIS SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-NP
Contact information
Practice address
201 ABRAHAM FLEXNER WAY STE 1004, LOUISVILLE, KY 40202-3841
(502) 589-3173
(502) 589-6751
Mailing address
100 E LIBERTY ST STE 800, LOUISVILLE, KY 40202-1428
(502) 589-3173
(502) 589-6751
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3009411
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300013126A-KOHMG
—
IN
05
—
7100417450-KOHMG
—
KY
01
—
K168000-KOHMG
MEDICARE
KY
Enumeration date
07/15/2015
Last updated
05/02/2018
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