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Individual

MS. CHERYL LYNNETTE MAKK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
4001 KRESGE WAY STE 240, LOUISVILLE, KY 40207-4640
(502) 897-6579
(502) 357-1682
Mailing address
2700 STANLEY GAULT PKWY STE 129, LOUISVILLE, KY 40223-5176
(502) 253-4900
(502) 489-5751

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3003368
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
78012390
KY
Enumeration date
11/09/2005
Last updated
08/26/2019
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