Individual
DR. MOLLY RECKTENWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4423 BARDSTOWN RD, LOUISVILLE, KY 40218-3235
(502) 749-7909
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3016906
KY
363LF0000X
Family Nurse Practitioner
F10210325
KY
Other
Enumeration date
11/01/2021
Last updated
12/08/2021
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