Individual
ELLEANOR GRAY VOGT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3999 DUTCHMANS LANE, MEDICAL PLAZA 1 STE 6, LOUISVILLE, KY 40207
(502) 394-1999
Mailing address
PO BOX 776879, CHICAGO, IL 60677-0909
(502) 559-9434
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
3013647
KY
Other
Enumeration date
08/16/2019
Last updated
04/11/2023
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