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Individual

PENGXIAO CAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
9440 BROWNSBORO RD, LOUISVILLE, KY 40241-1200
(502) 618-8317
Mailing address
2620 ELM HILL PIKE, NASHVILLE, TN 37214-3108

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3018907
KY

Other

Enumeration date
07/13/2023
Last updated
07/20/2023
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