Individual
MARCELO ENRIQUE VENEGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.P.R.N.
Contact information
Practice address
5100 OUTER LOOP, LOUISVILLE, KY 40219-3023
(502) 968-6226
(502) 966-5562
Mailing address
100 E LIBERTY ST STE 800, LOUISVILLE, KY 40202-1428
(502) 540-3339
(502) 540-3393
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3008115
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100247090
—
KY
Enumeration date
06/25/2013
Last updated
04/18/2019
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