Individual
AULA SAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD STUDENT
Contact information
Practice address
505 S HANCOCK ST, LOUISVILLE, KY 40202-1617
(859) 270-9750
Mailing address
705 GREENVALLEY CIR, LOUISVILLE, KY 40243-1943
(859) 270-9750
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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