Organization
KY PT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANN ELIZABETH EGGERT M.D. (OWNER)
(502) 409-8490
Entity
Organization
Contact information
Practice address
5520 FERN VALLEY RD STE 108, LOUISVILLE, KY 40228-1088
(678) 735-0769
Mailing address
5520 FERN VALLEY RD STE 108, LOUISVILLE, KY 40228-1088
(678) 735-0769
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
3875
KY
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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