Organization
A-LIST MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELAINA BURKS (COO)
(502) 417-8600
Entity
Organization
Contact information
Practice address
3841 RUCKRIEGEL PKWY STE 104, LOUISVILLE, KY 40299-3986
(502) 417-8600
Mailing address
3008 CHRISTIANA WOODS CT STE 100, LOUISVILLE, KY 40299-2903
(502) 780-1418
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/16/2024
Last updated
11/20/2024
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