Individual
CAROLE BANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2125 S FLOYD STREET CARDINAL PARK, LOUISVILLE, KY 40292-0001
(502) 852-2160
(502) 852-2497
Mailing address
2125 S FLOYD STREET CARDINAL PARK, LOUISVILLE, KY 40292-0001
(502) 852-2160
(502) 852-2497
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT450
KY
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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