Individual
WILLIAM JEFFREY MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4247 WESTPORT RD, LOUISVILLE, KY 40207-2227
(502) 625-6879
Mailing address
303 N HURSTBOURNE PKWY STE 200, LOUISVILLE, KY 40222-5158
(502) 509-1928
Taxonomy
Speciality
Code
Description
License number
State
364SL0600X
Long-Term Care Clinical Nurse Specialist
Primary
1083754
KY
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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