Individual
PARKER UPCHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11900 STANDIFORD PLAZA DR, LOUISVILLE, KY 40229-5901
(502) 957-9144
Mailing address
11900 STANDIFORD PLAZA DR, LOUISVILLE, KY 40229-5901
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10837
KY
122300000X
Dentist
Primary
12013888A
IN
Other
Enumeration date
07/25/2022
Last updated
10/26/2023
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