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Individual

MOLLOY G VEAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6420 DUTCHMANS PKWY, SUITE #195, LOUISVILLE, KY 40205-3372
(502) 897-7977
(502) 416-0688
Mailing address
7505 NEW LAGRANGE RD., SUITE 100, LOUISVILLE, KY 40222
(502) 930-2874
(502) 339-5700

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19156
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
KY
Enumeration date
04/05/2006
Last updated
07/01/2010
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