Organization
KIOSK MEDICINE KENTUCKY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC R WATKINS (CMO)
(615) 425-4200
Entity
Organization
Contact information
Practice address
279 N HUBBARDS LN, LOUISVILLE, KY 40207-2266
(502) 618-8058
Mailing address
2620 ELM HILL PIKE, NASHVILLE, TN 37214-3108
(615) 425-4200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/28/2014
Last updated
12/20/2016
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