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Individual

LATASHA REID

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8019 DIXIE HWY STE 101, LOUISVILLE, KY 40258-1303
(502) 333-3121
(502) 531-9538
Mailing address
8019 DIXIE HWY STE 101, LOUISVILLE, KY 40258-1303
(502) 333-3121
(502) 531-9538

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
112721
KY
363LF0000X
Family Nurse Practitioner
Primary
3012355
KY

Other

Enumeration date
12/08/2017
Last updated
08/15/2023
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