Individual
MS. ELIZABETH MANN GASSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4402 CHURCHMAN AVE, SUITE 300, LOUISVILLE, KY 40215-1190
(502) 363-0588
(502) 363-0972
Mailing address
100 E LIBERTY ST, SUITE 800, LOUISVILLE, KY 40202-1434
(502) 363-0588
(502) 363-0972
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2039
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100439500
—
KY
Enumeration date
09/28/2015
Last updated
02/10/2017
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