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Individual

AMY CRAFT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10510 LAGRANGE RD, LOUISVILLE, KY 40223-1277
(502) 589-1100
(502) 589-8771
Mailing address
101 W MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1423

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2032040
KY

Other

Enumeration date
12/11/2007
Last updated
11/04/2011
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