KENTUCKY BLUE MEDICAL LLC

LOUISVILLE, KY
NPI1063862506
Entity TypeOrganization
Authorized ContactCRANSTON SHEPPARD
Owner
502-361-1159
Organization Subpart ?No
Primary Taxonomy204D00000X Neuromusculoskeletal Medicine & OMM
Enumeration Date2016-06-15
Last Update Date2016-06-15
Business Address
KENTUCKY BLUE MEDICAL LLC
4602 SOUTHERN PKWY STE 1A
LOUISVILLE, KY 40214-1442
Phone number: 502-361-1159
Mailing Address
KENTUCKY BLUE MEDICAL LLC
4602 SOUTHERN PKWY STE 1A
LOUISVILLE, KY 40214-1442
Phone number:
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