Organization
KENTUCKY CENTER FOR REGENERATIVE MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA GEILE MD (CLINIC DIRECTOR)
(502) 251-3600
Entity
Organization
Contact information
Practice address
4010 DUPONT CIR STE 203, LOUISVILLE, KY 40207-4847
(502) 251-3600
Mailing address
148 GOLF CREST DR, ACWORTH, GA 30101-5968
(802) 734-9455
(678) 574-5605
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/03/2020
Last updated
03/03/2020
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