PROACTIVE MD KY PSC

LOUISVILLE, KY
NPI1548883960
Entity TypeOrganization
Authorized ContactMARK KEMBLE
Cmo
864-501-0815
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2020-05-20
Last Update Date2025-04-08
Business Address
PROACTIVE MD KY PSC
4340 CRITTENDEN DR
LOUISVILLE, KY 40209-1600
Phone number: 864-501-0751
Mailing Address
PROACTIVE MD KY PSC
124 ALLAWOOD CT
SIMPSONVILLE, SC 29681-6207
Phone number: 864-501-0751
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