Individual
JAMES PACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
4001 KRESGE WAY STE 236, LOUISVILLE, KY 40207-4640
(502) 893-7372
Mailing address
209 CLUB OAK CT, LOUISVILLE, KY 40223-2637
(502) 436-4047
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
3016629
KY
363LF0000X
Family Nurse Practitioner
Primary
3016629
KY
Other
Enumeration date
02/25/2022
Last updated
06/10/2022
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