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Individual

MRS. KARA MCDONALD WALLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
571 S FLOYD ST, SUITE 332, LOUISVILLE, KY 40202-3818
(502) 852-3720
(502) 852-3998
Mailing address
571 S FLOYD ST, SUITE 332, LOUISVILLE, KY 40202-3818
(502) 852-3720
(502) 852-3998

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
3986P
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
78012127
KY
Enumeration date
03/14/2007
Last updated
07/08/2007
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