Individual
MR. GREGORY FRODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BSN, RN, CNOR
Contact information
Practice address
800 ZORN AVENUE, LOUISVILLE, KY 40206
(502) 287-4000
Mailing address
6702 SUMAC RIDGE DRIVE, CRESTWOOD, KY 40014
(052) 909-5017
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
1143733
KY
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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