Individual
MARY SUSAN DEARMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNFA
Contact information
Practice address
4001 KRESGE WAY STE 200, LOUISVILLE, KY 40207-4640
(502) 895-1995
(502) 895-6479
Mailing address
1206 MEADOWRIDGE TRL, GOSHEN, KY 40026-9517
(502) 228-3175
(502) 228-3175
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
1039846
KY
Other
Enumeration date
05/28/2007
Last updated
12/16/2020
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