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Individual

RITA HERZOG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2543 DUNDEE RD, LOUISVILLE, KY 40205-2415
(502) 905-7027
Mailing address
2543 DUNDEE RD, LOUISVILLE, KY 40205-2415

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1060814
KY

Other

Enumeration date
08/03/2015
Last updated
08/03/2015
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