Individual
MARY HELEN MANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1023 NEW MOODY LN STE 202A, LA GRANGE, KY 40031-9177
(502) 225-5520
(502) 225-5521
Mailing address
1901 CAMPUS PL, LOUISVILLE, KY 40299-2308
(502) 253-4924
(502) 489-5750
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
55320
KY
207R00000X
Internal Medicine Physician
R4557
KY
208000000X
Pediatrics Physician
55320
KY
208000000X
Pediatrics Physician
TP156
KY
Other
Enumeration date
03/29/2017
Last updated
09/05/2025
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