Organization
BULLITT COUNTY FAMILY PRACTITIONER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRAVEEN V ARLA D.O. (VICE PRESIDENT)
(502) 418-9138
Entity
Organization
Contact information
Practice address
170 DR ARLA WAY, SUITE 4, LOUISVILLE, KY 40229-5427
(502) 955-8480
Mailing address
170 DR ARLA WAY, SUITE 4, LOUISVILLE, KY 40229-5427
(502) 955-8480
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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