NORTON CHILDREN'S MEDICAL GROUP, LLC

LOUISVILLE, KY
NPI1336771161
Doing Business AsNORTON CHILDREN'S DERMATOLOGY
Entity TypeOrganization
Authorized ContactSHELLEY GAST
Syst VP Mngd Care & Payor Strat
502-272-5335
Organization Subpart ?No
Primary Taxonomy207NP0225X Dermatology, Pediatric Dermatology
Additional Taxonomies207N00000X Dermatology
363A00000X Physician Assistant
363L00000X Nurse Practitioner
363LF0000X Nurse Practitioner, Family
363LP0200X Nurse Practitioner, Pediatrics
Enumeration Date2020-02-10
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: 502-272-5134
Mailing Address
NORTON CHILDREN'S MEDICAL GROUP, LLC
PO BOX 776879
CHICAGO, IL 60677-6879
Phone number: 502-272-5134