Organization
PRIDE HEALTH CARE SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMANDEEP SINGH (MANAGER)
(502) 565-4355
Entity
Organization
Contact information
Practice address
417 E LEE ST, LOUISVILLE, KY 40217-1139
(502) 409-5805
Mailing address
417 E LEE ST, LOUISVILLE, KY 40217-1139
(502) 409-5805
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3008170
KY
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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