Individual
MR. FRANK GOTHAM SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1404 BROWNS LN, SUITE B, LOUISVILLE, KY 40207-4655
(502) 895-5088
(502) 897-2426
Mailing address
PO BOX 6418, LOUISVILLE, KY 40206-0418
(502) 895-5088
(502) 897-2426
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
14589
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64145899
—
KY
Enumeration date
07/07/2005
Last updated
01/15/2008
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