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Organization

COMMUNITY MEDICAL ASSOCIATES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHELLEY GAST (PRESIDENT)
(502) 588-9490
Entity
Organization

Contact information

Practice address
4803 OLYMPIA PARK PLZ STE 1100, LOUISVILLE, KY 40241-3068
(502) 272-5340
(502) 272-5339
Mailing address
PO BOX 776351, CHICAGO, IL 60677-0202
(502) 272-5340
(502) 272-5339

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary

Other

Enumeration date
02/04/2016
Last updated
09/21/2021
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