JASON KEITH FACKLER

LOUISVILLE, KY
NPI1609564566
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: KY  3019095)
Additional Taxonomies207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: FL  APRN11026036)
Enumeration Date2023-04-28
Last Update Date2024-09-17
Business Address
JASON KEITH FACKLER ARNP
201 ABRAHAM FLEXNER WAY STE 1105
LOUISVILLE, KY 40202-3841
Phone number: 502-367-4500
Mailing Address
JASON KEITH FACKLER ARNP
PO BOX 909
LOUISVILLE, KY 40201-0909
Phone number: 502-367-4500