Individual
ALYSA MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
845 S 3RD ST, LOUISVILLE, KY 40203-2213
(812) 595-0158
Mailing address
845 S 3RD ST, LOUISVILLE, KY 40203-2213
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28294277C
IN
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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