NORTON CHILDREN'S MEDICAL GROUP, LLC

LOUISVILLE, KY
NPI1922649573
Doing Business AsNORTON CHILDREN'S NEPHROLOGY
Entity TypeOrganization
Authorized ContactSHELLEY GAST
Syst VP Mngd Care & Payor Strat
502-272-5335
Organization Subpart ?No
Primary Taxonomy2080P0210X Pediatrics, Pediatric Nephrology
Additional Taxonomies208000000X Pediatrics
363A00000X Physician Assistant
363AM0700X Physician Assistant, Medical
363AS0400X Physician Assistant, Surgical
363LP0200X Nurse Practitioner, Pediatrics
Enumeration Date2019-10-04
Last Update Date2021-09-22
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