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Individual

ALYCE G ABRAHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
6420 DUTCHMANS PKWY STE 190, LOUISVILLE, KY 40205
(502) 588-7660
(502) 588-7893
Mailing address
2040 DOUGLASS BLVD, LOUISVILLE, KY 40205-1928

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3002685
KY
363LW0102X
Women's Health Nurse Practitioner
1088268
KY

Other

Enumeration date
02/21/2007
Last updated
06/04/2018
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