Individual
MARIE ELISE CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
411 E CHESTNUT ST, LOUISVILLE, KY 40202-1713
(502) 588-3650
(502) 588-7852
Mailing address
PO BOX 776879, CHICAGO, IL 60677-3039
(502) 588-9490
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
59118
KY
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
59118
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2017
Last updated
09/24/2024
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