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Individual

MRS. TARA LIANNE CONZELMAN-CHENG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.A.-C

Contact information

Practice address
800 ZORN AVE, LOUISVILLE, KY 40206-1433
(502) 287-4000
Mailing address
835 RIVER DELL DR, LOUISVILLE, KY 40206-3208
(859) 338-9551

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary

Other

Enumeration date
07/11/2009
Last updated
09/03/2009
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