Individual
CAROLE ANN BUSKIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2215 PORTLAND AVE, LOUISVILLE, KY 40212-1033
(502) 772-8160
(502) 772-8189
Mailing address
PO BOX 950244, LOUISVILLE, KY 40295-0244
(502) 953-4700
(502) 772-8189
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
3802P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3003802
STATE LICENSE NUMBER
KY
05
—
78008299
—
KY
Enumeration date
04/10/2006
Last updated
04/13/2021
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