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Organization

A2 SKIN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TERRI DAWN BALL APRN (NURSE PRACTITIONER)
(502) 759-5240
Entity
Organization

Contact information

Practice address
2520 BARDSTOWN RD, LOUISVILLE, KY 40205-2672
(502) 759-5240
Mailing address
2520 BARDSTOWN RD, LOUISVILLE, KY 40205-2672
(502) 759-5240

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
KY

Other

Enumeration date
06/03/2015
Last updated
07/21/2022
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