Individual
CYNTHIA ELAINE ROUNTREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3920 DUTCHMANS LN, SUITE 310, LOUISVILLE, KY 40207-4702
(502) 895-8970
(502) 895-8971
Mailing address
6801 DIXIE HWY, SUITE 130, LOUISVILLE, KY 40258-3913
(502) 895-8970
(502) 895-8971
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA758
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100038650
—
KY
Enumeration date
08/20/2006
Last updated
04/25/2011
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