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Individual

DR. ADAM KYLE NISCHWITZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
225 S HURSTBOURNE PKWY, SUITE 102, LOUISVILLE, KY 40222-4929
(270) 779-0786
Mailing address
225 S HURSTBOURNE PKWY, SUITE 102, LOUISVILLE, KY 40222-4929
(270) 779-0786

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9146
KY

Other

Enumeration date
02/08/2012
Last updated
09/24/2012
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