Individual
MOLLY LOUISE CHRISTOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4402 CHURCHMAN AVE STE 300, LOUISVILLE, KY 40215-3101
(502) 363-0588
(502) 363-0972
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0328
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10002662A
IN
363A00000X
Physician Assistant
105674441206
UT
363A00000X
Physician Assistant
Primary
PA2673
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300022336
—
IN
05
—
7100585050
—
KY
01
—
IN1189237
IN MEDICARE
IN
Enumeration date
02/03/2018
Last updated
04/19/2023
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