Individual
THAO BATOVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13410 EASTPOINT CENTRE DR, LOUISVILLE, KY 40223-4160
(877) 662-6633
Mailing address
13410 EASTPOINT CENTRE DR, LOUISVILLE, KY 40223-4160
(877) 662-6633
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1136448
KY
183500000X
Pharmacist
Primary
023063
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2022
Last updated
08/23/2022
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