Individual
MR. DERRICK ARNOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4835 POPLAR LEVEL RD STE 119, LOUISVILLE, KY 40213-2905
(502) 428-4094
Mailing address
4835 POPLAR LEVEL RD, LOUISVILLE, KY 40213-2905
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/11/2018
Last updated
05/11/2018
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