Organization
VISIUM HEALTHLINK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLI GILLIAM (PRESIDENT)
(859) 221-8990
Entity
Organization
Contact information
Practice address
1042 CENTER DR STE 102, RICHMOND, KY 40475-3838
(859) 221-8990
Mailing address
1042 CENTER DR STE 102, RICHMOND, KY 40475-3838
(859) 221-8990
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
08/18/2020
Last updated
05/24/2022
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