Individual
NIA BARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 562-3000
Mailing address
3501 MEDLEY RD, OWENSBORO, KY 42301-9701
(270) 993-6464
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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