PROACTIVE MD KY PSC

LOUISVILLE, KY
NPI1548883960
Entity TypeOrganization
Authorized ContactMARK ALLEN KEMBLE
Chief Medical Officer
864-640-8355
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2020-05-20
Last Update Date2026-08-31
Business Address
PROACTIVE MD KY PSC
4340 CRITTENDEN DR
LOUISVILLE, KY 40209-1600
Phone number: 864-501-0751
Mailing Address
PROACTIVE MD KY PSC
86 VILLA RD STE 100
GREENVILLE, SC 29615-3052
Phone number: 864-640-8355
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