Individual
MS. SUSAN GREGORY O'HERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
833 FORREST ST, LOUISVILLE, KY 40217-2201
(502) 558-3345
(502) 635-9005
Mailing address
833 FORREST ST, LOUISVILLE, KY 40217-2201
(502) 558-3345
(502) 635-9005
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
RO313
KY
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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