ON-SITE DERMATOLOGY CONSULTANTS

LOUISVILLE, KY
NPI1134140759
Entity TypeOrganization
Authorized ContactPATRICIA C. MADER
President
502-322-6678
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: KY  4150P)
Enumeration Date2006-07-21
Last Update Date2008-04-20
Business Address
ON-SITE DERMATOLOGY CONSULTANTS
11209 VISTA GREENS DR
LOUISVILLE, KY 40241-3444
Phone number: 502-322-6678
Mailing Address
ON-SITE DERMATOLOGY CONSULTANTS
11209 VISTA GREENS DR
LOUISVILLE, KY 40241-3444
Phone number: 502-322-6678
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