Individual
KAYLA RENE POLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3600 MALL RD, LOUISVILLE, KY 40218-5403
(502) 456-1441
Mailing address
3600 MALL RD, LOUISVILLE, KY 40218-5403
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
021123
KY
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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