Individual
MARY E CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3920 DUTCHMANS LN STE 315, LOUISVILLE, KY 40207-4702
(502) 896-4246
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
IP1693
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2018
Last updated
03/04/2025
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