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Organization

MD2U KENTUCKY LLC

Active
Parent organization
MD2U MANAGEMENT LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
MD2U MANAGEMENT LLC
Authorized official
KRISTEN LEIGH MILLER (GENERAL COUNSEL)
(502) 327-9100
Entity
Organization

Contact information

Practice address
9200 SHELBYVILLE RD STE 530, LOUISVILLE, KY 40222-5144
(502) 327-9100
Mailing address
9200 SHELBYVILLE RD STE 530, LOUISVILLE, KY 40222-5144
(502) 327-9100
(502) 742-3767

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
363L00000X
Nurse Practitioner

Other

Enumeration date
08/27/2010
Last updated
03/17/2018
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