NORTON CHILDREN'S MEDICAL GROUP, LLC

LOUISVILLE, KY
NPI1770190167
Doing Business AsNORTON CHILDREN'S GENETICS CENTER
Entity TypeOrganization
Authorized ContactSHELLEY GAST
Syst VP Mngd Care & Payor Strat
502-272-5335
Organization Subpart ?No
Primary Taxonomy207SG0201X Medical Genetics, Clinical Genetics (M.D.)
Additional Taxonomies103TC0700X Psychologist, Clinical
1041C0700X Social Worker, Clinical
133V00000X Dietitian, Registered
133VN1006X Dietitian, Registered, Nutrition, Metabolic
170300000X Genetic Counselor, MS
363L00000X Nurse Practitioner
363LF0000X Nurse Practitioner, Family
363LP0200X Nurse Practitioner, Pediatrics
Enumeration Date2020-09-29
Last Update Date2022-01-10
Business Address
NORTON CHILDREN'S MEDICAL GROUP, LLC
4803 OLYMPIA PARK PLZ STE 1100
LOUISVILLE, KY 40241-3068
Phone number: 502-272-5336
Mailing Address
NORTON CHILDREN'S MEDICAL GROUP, LLC
PO BOX 776879
CHICAGO, IL 60677-6879
Phone number: 502-272-5336
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