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Individual

JUDITH KAY GLADISH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
401 E CHESTNUT ST, STE 410, LOUISVILLE, KY 40202-5700
(502) 589-8637
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0329
(502) 588-0326

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2301P
KY
363LF0000X
Family Nurse Practitioner
Primary
3002301
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000388240
BLUE CROSS FACETS ID
KY
01
K073730
MEDICARE- NORTON ICC
KY
Enumeration date
10/17/2006
Last updated
12/29/2014
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