Organization
WOMENS CENTER FOR GYNECOLOGY AND BLADDER DISORDERS
Active
Other names
The Women's Center For Gynecology and Bladder Disorders
Organization subpart
No
Provider details
NPI number
Authorized official
JAN N EKLUND ARNP (MEMBER/REGISTERED AGENT)
(502) 239-9920
Entity
Organization
Contact information
Practice address
5512 BARDSTOWN RD, LOUISVILLE, KY 40291-1910
(502) 239-9920
Mailing address
5512 BARDSTOWN RD, LOUISVILLE, KY 40291-1910
(502) 239-9920
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
1777P & 3074P
KY
Other
Enumeration date
11/21/2008
Last updated
12/02/2010
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