Individual
DAWN BALCOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
401 E CHESTNUT ST UNIT 310, LOUISVILLE, KY 40202-5703
(502) 588-4600
Mailing address
6610 SHELBURN DR, CRESTWOOD, KY 40014-8945
(502) 744-7439
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
30009692
KY
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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