Individual
COURTNEY RAYBON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4001 DUTCHMANS LN, LOUISVILLE, KY 40207-4714
(502) 893-1000
Mailing address
9152 TAYLORSVILLE RD # 276, LOUISVILLE, KY 40299-1752
(502) 447-8786
(502) 447-8623
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
57593
KY
2085R0202X
Diagnostic Radiology Physician
59381
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300075010
—
IN
05
—
7100666940
—
KY
Enumeration date
03/23/2015
Last updated
09/21/2023
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