Individual
VANESSA STATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 KRESGE WAY, LOUISVILLE, KY 40207-4605
(502) 897-8230
Mailing address
500 S PRESTON ST RM 305, LOUISVILLE, KY 40202-1702
(502) 852-8696
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
59024
KY
Other
Enumeration date
05/02/2017
Last updated
06/05/2024
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