Organization
LOUISVILLE EAST PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE MORAN M.D. (PRESIDENT)
(502) 327-5135
Entity
Organization
Contact information
Practice address
213 N HURSTBOURNE PKWY, LOUISVILLE, KY 40222-5139
(502) 327-5135
(502) 327-9475
Mailing address
213 N HURSTBOURNE PKWY, LOUISVILLE, KY 40222-5139
(502) 327-5135
(502) 327-9475
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/02/2007
Last updated
10/02/2007
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