Individual
KHAIRUNISSA BATOOL MOHIUDDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4423 BARDSTOWN RD, LOUISVILLE, KY 40218
(502) 495-2400
(502) 495-6345
Mailing address
100 E LIBERTY ST STE 800, LOUISVILLE, KY 40202-1428
(502) 540-3387
(502) 540-3393
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3013246
KY
Other
Enumeration date
04/05/2019
Last updated
07/30/2019
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