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1083180905
ALLISON MCKENZIE THEOBALD
LOUISVILLE, KY
NPI
1083180905
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: KY 3012345)
Enumeration Date
2018-10-18
Last Update Date
2020-10-27
Business Address
ALLISON MCKENZIE THEOBALD APRN
6500 PRESTON HWY
LOUISVILLE, KY 40219-1820
Phone number: 502-893-5502
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Mailing Address
ALLISON MCKENZIE THEOBALD APRN
6500 PRESTON HWY
LOUISVILLE, KY 40219-1820
Phone number:
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