CLEANSLATE MEDICAL GROUP OF KENTUCKY PLLC

LOUISVILLE, KY
NPI1538600630
Entity TypeOrganization
Authorized ContactMATTHEW PHILIP SMOLAREK
CFO
412-999-5188
Organization Subpart ?No
Primary Taxonomy207RA0401X Internal Medicine, Addiction Medicine
Enumeration Date2017-03-09
Last Update Date2024-07-03
Business Address
CLEANSLATE MEDICAL GROUP OF KENTUCKY PLLC
210 E GRAY ST STE 803
LOUISVILLE, KY 40202-3904
Phone number: 502-238-9462
Mailing Address
CLEANSLATE MEDICAL GROUP OF KENTUCKY PLLC
8 CADILLAC DR STE 180
BRENTWOOD, TN 37027-5393
Phone number: 154-250-0220
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