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Individual

FRED HOUSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
SPECIALIST

Contact information

Practice address
9604 FIRWOOD CT, LOUISVILLE, KY 40291-1027
(502) 645-9231
Mailing address
9604 FIRWOOD CT, LOUISVILLE, KY 40291-1027
(502) 645-9231

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
1083707
KY

Other

Enumeration date
07/17/2010
Last updated
07/17/2010
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