Provider First Line Business Practice Location Address:
201 ABRAHAM FLEXNER WAY, DEPARTMENT OF FAMILY MEDICINE
Provider Second Line Business Practice Location Address:
SUITE 690
Provider Business Practice Location Address City Name:
LOUISVILLE
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40202
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
502-852-0132
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/19/2022