RICKY STANLEY COLLIS

LOUISVILLE, KY
NPI1144231291
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208VP0000X 
(Licence: KY  29814)
Enumeration Date2006-08-11
Last Update Date2008-07-10
Business Address
-- RICKY STANLEY COLLIS MD
315 E BROADWAY SUITE 250
LOUISVILLE, KY 40202-3700
Phone number: 502-589-4765
Mailing Address
-- RICKY STANLEY COLLIS MD
315 E BROADWAY SUITE 250
LOUISVILLE, KY 40202-3700
Phone number: 502-589-4765
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