Individual
DR. GARY EDLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DVM
Contact information
Practice address
4158 WESTPORT RD, LOUISVILLE, KY 40207-2723
(502) 897-1000
(502) 896-5822
Mailing address
4158 WESTPORT RD, LOUISVILLE, KY 40207-2723
(502) 897-1000
(502) 896-5822
Taxonomy
Speciality
Code
Description
License number
State
174M00000X
Veterinarian
Primary
NS2593
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NS2593
VETERINARY LICENSE
KY
Enumeration date
04/26/2013
Last updated
04/26/2013
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