Organization
VAACA OF KENTUCKY PSC
Active
Other names
Allergy Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BECKY LEE NOAH CMM (PRACTICE ADMINISTRATOR)
(502) 635-6937
Entity
Organization
Contact information
Practice address
1261 GOSS AVE, LOUISVILLE, KY 40217-1239
(502) 635-6937
(502) 634-3926
Mailing address
1261 GOSS AVE, LOUISVILLE, KY 40217-1239
(502) 635-6937
(502) 634-3926
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65928889
—
KY
Enumeration date
10/23/2006
Last updated
08/02/2016
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