Individual
DAVE RANDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2508 PLANTSIDE DR, LOUISVILLE, KY 40299-2538
(502) 267-6030
Mailing address
2508 PLANTSIDE DR, LOUISVILLE, KY 40299-2538
(502) 267-6030
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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