Individual
LESLIE BROOKE CAUGHRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1707 CEDAR GROVE RD STE 20, SHEPHERDSVILLE, KY 40165-8592
(502) 215-5090
(502) 215-5095
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 629-6000
(502) 629-5991
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3005509
KY
363LP0200X
Pediatric Nurse Practitioner
Primary
3005509
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200922430
—
IN
01
—
50027774
PASSPORT HEALTH PLAN
KY
05
—
7100048270
—
KY
Enumeration date
07/24/2008
Last updated
04/06/2022
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