Individual
SAMUEL YEBOAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5330 S 3RD ST STE 228, LOUISVILLE, KY 40214-2687
(812) 557-7022
(502) 305-6446
Mailing address
5330 S 3RD ST STE 228, LOUISVILLE, KY 40214-2687
(812) 557-7022
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3014512
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
3014512
KY
Other
Enumeration date
04/02/2020
Last updated
06/04/2025
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