Individual
HALEY BURSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4501 LOUISE UNDERWOOD WAY, LOUISVILLE, KY 40216-3987
(502) 368-2348
(502) 371-9067
Mailing address
4501 LOUISE UNDERWOOD WAY, LOUISVILLE, KY 40216-3987
(502) 368-2348
(502) 371-9067
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9659
KY
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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