MONICA KETTAVONG

LOUISVILLE, KY
NPI1679269484
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-04-14
Last Update Date2023-04-14
Business Address
MONICA KETTAVONG
901 S 4TH ST
LOUISVILLE, KY 40203-3205
Phone number: 502-588-7183
Mailing Address
MONICA KETTAVONG
8603 JAN WAY
LOUISVILLE, KY 40219-4237
Phone number: