Individual
NATHAN M PROULX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 S PRESTON ST, LOUISVILLE, KY 40202-1701
(502) 852-5096
Mailing address
501 S PRESTON ST, LOUISVILLE, KY 40202-1701
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D-00172
KY
122300000X
Dentist
Primary
DE61187214
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2021
Last updated
07/02/2026
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