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Individual

DR. KASEY LYNN BURGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3165 S 2ND ST, LOUISVILLE, KY 40208-1446
(502) 368-6075
Mailing address
638 S 2ND ST APT 2, LOUISVILLE, KY 40202-2400
(502) 435-3603

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
018801
KY
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
26027563A
IN

Other

Enumeration date
01/09/2020
Last updated
01/09/2020
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