Individual
VIRGINIA L MENCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12955 SHELBYVILLE RD STE 1, LOUISVILLE, KY 40243-1538
(502) 254-2223
(502) 254-2525
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 559-9407
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
55001
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100606920
—
KY
Enumeration date
04/05/2018
Last updated
11/08/2024
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