Individual
MITCHELL FORBES ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 ABRAHAM FLEXNER WAY, RUDD HEART & LUNG CTR., STE. 690, LOUISVILLE, KY 40202
(502) 852-0132
Mailing address
201 ABRAHAM FLEXNER WAY, RUDD HEART AND LUNG CTR., STE. 690, LOUISVILLE, KY 40202
(502) 852-0132
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R3764
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2015
Last updated
10/26/2018
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