NORTON CHILDREN'S MEDICAL GROUP, LLC

LOUISVILLE, KY
NPI1538700869
Doing Business AsNORTON CHILDREN'S UROLOGY
Entity TypeOrganization
Authorized ContactSHELLEY GAST
Syst VP Mngd Care & Payor Strat
502-272-5335
Organization Subpart ?No
Primary Taxonomy2088P0231X Urology, Pediatric Urology
Additional Taxonomies208800000X Urology
363A00000X Physician Assistant
363AM0700X Physician Assistant, Medical
363AS0400X Physician Assistant, Surgical
363L00000X Nurse Practitioner
363LF0000X Nurse Practitioner, Family
Enumeration Date2019-10-08
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: 505-272-5336
Mailing Address
NORTON CHILDREN'S MEDICAL GROUP, LLC
PO BOX 776879
CHICAGO, IL 60677-6879
Phone number: 502-272-5336