Organization
WOMENS CENTER FOR GYNECOLOGY AND BLADDER DISORDERS
Active
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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