Organization
COMPLETE LASER CLINIC OF LOUISVILLE, LLC
Active
Other names
Convenient Care and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
CARY STORY (MANAGER)
(502) 208-1803
Entity
Organization
Contact information
Practice address
3000 FERN VALLEY RD, LOUISVILLE, KY 40213-3522
(502) 208-1803
Mailing address
PO BOX 3805, LOUISVILLE, KY 40201-3805
(502) 208-1803
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
KY
Other
Enumeration date
05/16/2017
Last updated
05/16/2017
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