NORTON CHILDREN'S MEDICAL GROUP, LLC

LOUISVILLE, KY
NPI1134760796
Doing Business AsNORTON CHILDREN'S NEUROLOGY
Entity TypeOrganization
Authorized ContactSHELLEY GAST
Syst VP Mngd Care & Payor Strat
502-272-5335
Organization Subpart ?No
Primary Taxonomy2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology
Additional Taxonomies103G00000X Clinical Neuropsychologist
1041C0700X Social Worker, Clinical
207T00000X Neurological Surgery
2084N0400X Psychiatry & Neurology, Neurology
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
225100000X Physical Therapist
363A00000X Physician Assistant
363AM0700X Physician Assistant, Medical
363AS0400X Physician Assistant, Surgical
363LF0000X Nurse Practitioner, Family
363LP0200X Nurse Practitioner, Pediatrics
363L00000X Nurse Practitioner
Enumeration Date2019-10-04
Last Update Date2021-09-22
Business Address
NORTON CHILDREN'S MEDICAL GROUP, LLC
4803 OLYMPIA PARK PLZ STE 1100
LOUISVILLE, KY 40241-3068
Phone number: 502-272-5336
Mailing Address
NORTON CHILDREN'S MEDICAL GROUP, LLC
PO BOX 776879
CHICAGO, IL 60677-6879
Phone number: 502-272-5336