Individual
KHADEIL ERGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2400 S 4TH ST APT 539A, LOUISVILLE, KY 40208-1526
(843) 338-8068
Mailing address
2400 S 4TH ST APT 539A, LOUISVILLE, KY 40208-1526
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/30/2025
Last updated
08/30/2025
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