Individual
TRAMEL INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4922 POPLAR LEVEL RD, LOUISVILLE, KY 40219-1128
(502) 434-5566
(502) 434-5567
Mailing address
4922 POPLAR LEVEL RD, LOUISVILLE, KY 40219-1128
(502) 434-5566
(502) 434-5567
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2042928
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2042928
—
KY
Enumeration date
09/20/2022
Last updated
09/20/2022
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