Organization
BLUEGRASS ALLERGY ASTHMA AND IMMUNOLOGY PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK TOLIS SIMON MD (MD/OWNER)
(502) 386-4710
Entity
Organization
Contact information
Practice address
11900 PLANTSIDE DR STE 9, LOUISVILLE, KY 40299
(502) 267-0556
(502) 267-1715
Mailing address
PO BOX 206578, LOUISVILLE, KY 40250-6578
(812) 218-8926
(812) 218-8930
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
34409
KY
Other
Enumeration date
11/03/2017
Last updated
07/10/2018
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