Organization
DRS HORNADAY, COSTEL, & BRYANT, PLLC
Active
Other names
DRS. SCHREIBER, HORNADAY, COSTEL, BRYANT & ABOUD, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA DIANE EVANS R.N. (PRACTICE MANAGER)
(502) 897-1121
Entity
Organization
Contact information
Practice address
4002 KRESGE WAY, SUITE 100, LOUISVILLE, KY 40207-4605
(502) 897-1121
(502) 897-1189
Mailing address
4002 KRESGE WAY, SUITE 100, LOUISVILLE, KY 40207-4605
(502) 897-1121
(502) 897-1189
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000061250
BLUE CROSS BLUE SHIELD
KY
Enumeration date
03/28/2007
Last updated
04/16/2019
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