Individual
MR. BRIAN EDWARD MACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
6400 DUTCHMANS PKWY STE 250, LOUISVILLE, KY 40205-3354
(502) 587-9660
(502) 540-5615
Mailing address
391 E EAGLE PASS RD, ELIZABETHTOWN, KY 42701-8575
(270) 268-1604
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3008675
KY
Other
Enumeration date
06/03/2014
Last updated
05/13/2020
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