Individual
FATIMA ELKABTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10232 WESTPORT RD, LOUISVILLE, KY 40241
(502) 339-2042
(502) 339-2044
Mailing address
PO BOX 207170, DALLAS, TX 75320-7156
(636) 200-4393
(636) 527-0766
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
15406
CA
152W00000X
Optometrist
18004147A
IN
152W00000X
Optometrist
Primary
2139DT
KY
152W00000X
Optometrist
8706T
TX
Other
Enumeration date
10/13/2015
Last updated
08/20/2019
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