Individual
JUSTIN THOMAS GERALDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 AUDUBON PLAZA DR, LOUISVILLE, KY 40217-1318
(502) 634-6767
(502) 634-6775
Mailing address
PO BOX 36218, LOUISVILLE, KY 40233-6218
(502) 634-6767
(502) 634-6775
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
50229
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50229
KENTUCKY BOARD OF MEDICAL LICENSURE
KY
Enumeration date
03/25/2014
Last updated
07/21/2022
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