KAITLIN BROOKE FIRQUIN

LOUISVILLE, KY
NPI1245817279
Former NameKAITLIN BROOKE MARDIS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: KY  05761)
Additional Taxonomies2080P0204X Pediatrics, Pediatric Emergency Medicine
(Licence: KY  05761)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-03-25
Last Update Date2024-09-25
Business Address
KAITLIN BROOKE FIRQUIN DO
231 E CHESTNUT ST
LOUISVILLE, KY 40202-1821
Phone number: 502-629-6000
Mailing Address
KAITLIN BROOKE FIRQUIN DO
PO BOX 776879
CHICAGO, IL 60677-6879
Phone number: 502-588-9490