Organization
PA PROFESSIONAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. OSMARO J RUIZ (PRESIDENT)
(502) 802-3726
Entity
Organization
Contact information
Practice address
4229 BARDSTOWN RD STE 411, LOUISVILLE, KY 40218-3241
(502) 802-3726
Mailing address
4229 BARDSTOWN RD STE 411, LOUISVILLE, KY 40218-3241
(502) 802-3726
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
KY
Other
Enumeration date
01/08/2014
Last updated
01/08/2014
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