Organization
LOUISVILLE GENERAL SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA GILBERT (OFFICE MANAGER)
(502) 899-6470
Entity
Organization
Contact information
Practice address
4121 DUTCHMANS LN, STE 607, LOUISVILLE, KY 40207-4707
(502) 899-6470
(502) 899-6479
Mailing address
4121 DUTCHMANS LN, STE 607, LOUISVILLE, KY 40207-4707
(502) 899-6470
(502) 899-6479
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65928053
—
KY
Enumeration date
04/04/2006
Last updated
03/10/2008
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