Organization
EXECUTIVE MARKETING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER PROFFITT (EXECUTIVE PARTNER)
(502) 727-9405
Entity
Organization
Contact information
Practice address
3720 CHAUNCEY AVE, LOUISVILLE, KY 40211-4302
(502) 727-9405
Mailing address
3720 CHAUNCEY AVE, LOUISVILLE, KY 40211-4302
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/05/2014
Last updated
05/05/2014
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