Organization
LOUISVILLE ENT ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKIE LEE BRUMITT (OFFICE MGR)
(502) 459-3760
Entity
Organization
Contact information
Practice address
2355 POPLAR LEVEL RD, 400, LOUISVILLE, KY 40217-1395
(502) 459-3760
(502) 459-3717
Mailing address
2355 POPLAR LEVEL RD, 400, LOUISVILLE, KY 40217-1395
(502) 459-3760
(502) 459-3717
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
24518
KY
Other
Enumeration date
01/11/2007
Last updated
08/22/2020
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