Organization
HEALTHSYNC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MCCLELLAN (CREDENTIALING CONSULTANT)
(502) 429-8505
Entity
Organization
Contact information
Practice address
330 EVERGREEN RD STE 2, LOUISVILLE, KY 40243-1096
(502) 244-4848
Mailing address
330 EVERGREEN RD STE 2, LOUISVILLE, KY 40243-1096
(502) 244-4848
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/25/2015
Last updated
03/25/2015
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