Individual
MRS. BEVERLY JO CRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST CFA
Contact information
Practice address
1520 SANDERS LANE, LOUISVILLE, KY 40216
(502) 366-5965
(502) 361-6637
Mailing address
1520 SANDERS LANE, LOUISVILLE, KY 40216
(502) 366-5965
(502) 361-6637
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
92630
KY
Other
Enumeration date
11/27/2006
Last updated
07/08/2007
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