Individual
COURTNEY BOODRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 AUDUBON PLAZA DR STE 230, LOUISVILLE, KY 40217-1319
(502) 637-3311
(502) 637-3168
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 272-5063
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
54952
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2014
Last updated
06/04/2021
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