ETHAN JOHNSON

LOUISVILLE, KY
NPI1336973767
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: KY  4024171)
Enumeration Date2024-08-28
Last Update Date2024-08-28
Business Address
ETHAN JOHNSON
3900 KRESGE WAY STE 60
LOUISVILLE, KY 40207-4690
Phone number: 502-897-8008
Mailing Address
ETHAN JOHNSON
3900 KRESGE WAY
LOUISVILLE, KY 40207-4660
Phone number:
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