Individual
KACIE N LAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
234 AMY AVE, LOUISVILLE, KY 40212-2522
(502) 778-0001
(502) 776-1133
Mailing address
234 AMY AVE, LOUISVILLE, KY 40212-2522
(502) 778-0001
(502) 776-1133
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
06/03/2015
Last updated
12/06/2016
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