Individual
JONATHAN KRATZWALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8206 HAPPINESS WAY, LOUISVILLE, KY 40291-2865
(502) 386-1703
Mailing address
8206 HAPPINESS WAY, LOUISVILLE, KY 40291-2865
(502) 386-1703
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
A5645
KY
Other
Enumeration date
10/03/2014
Last updated
10/03/2014
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