Individual
SHALESH KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3438 TAYLOR BLVD, LOUISVILLE, KY 40215-2648
(502) 366-4442
Mailing address
3438 TAYLOR BLVD, LOUISVILLE, KY 40215-2648
(502) 366-4442
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
12011068A
IN
1223G0001X
General Practice Dentistry
Primary
8687
KY
Other
Enumeration date
09/19/2007
Last updated
05/26/2010
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