Organization
CALOBRACE PLASTIC SURGERY CENTER PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BRADLEY CALOBRACE (OWNER)
(502) 899-9979
Entity
Organization
Contact information
Practice address
2341 LIME KILN LANE, LOUISVILLE, KY 40222
(502) 899-9979
(502) 899-9939
Mailing address
2341 LIME KILN LANE, LOUISVILLE, KY 40222
(502) 899-9979
(502) 899-9939
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
03/12/2014
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