Organization
BLUEGRASS ALLERGY ASTHMA AND IMMUNOLOGY PSC
Active
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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