Individual
DOMINIC M GANLEY I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
310 S HANCOCK ST, LOUISVILLE, KY 40202-2158
(305) 680-7624
Mailing address
310 S HANCOCK ST, LOUISVILLE, KY 40202-2158
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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