Individual
MARY KATHRYN ALONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CPNP-PC
Contact information
Practice address
411 E CHESTNUT ST, LOUISVILLE, KY 40202-1713
(502) 588-0850
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3015577
KY
363LP0200X
Pediatric Nurse Practitioner
Primary
3015577
KY
Other
Enumeration date
12/14/2020
Last updated
04/18/2024
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