Organization
PEDIATRIC ASSOCIATES OF LOUISVILLE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA PARIS (BILLING)
(502) 231-1144
Entity
Organization
Contact information
Practice address
5721 BARDSTOWN RD, LOUISVILLE, KY 40291-1913
(502) 231-1144
(502) 231-1508
Mailing address
5721 BARDSTOWN RD, LOUISVILLE, KY 40291-1913
(502) 231-1144
(502) 231-1508
Taxonomy
Speciality
Code
Description
License number
State
364SP0200X
Pediatric Clinical Nurse Specialist
Primary
1065462
KY
Other
Enumeration date
01/29/2016
Last updated
01/29/2016
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