Individual
RANDY JACK SIMPKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
231 E CHESTNUT ST, LOUISVILLE, KY 40202-1821
(502) 588-7450
(502) 588-7728
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 559-9411
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TC160
KY
Other
Enumeration date
09/20/2022
Last updated
06/14/2024
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