Organization
NEURODIAGNOSTIC ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IGOR KRAVCHUK DABNM (CLINICAL NEUROPHYSIOLOGIST)
(502) 999-1098
Entity
Organization
Contact information
Practice address
3802 ARBOR WAY, CRESTWOOD, KY 40014-8222
(502) 999-1098
(502) 237-4388
Mailing address
PO BOX 84, CRESTWOOD, KY 40014-0084
(502) 999-1098
(502) 237-4388
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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