Commonwealth Family Care Pllc

NPI #1386001196 in Louisville, Kentucky

Provider Information

NPI Number
1386001196
Entity Type
Organization
Organization Name
Commonwealth Family Care Pllc
Primary Specialty
Nurse Practitioner
Enumeration Date
Jan 25, 2016
Last Updated
Dec 15, 2016

Practice Location

Address
7410 NEW LA GRANGE RD
Address 2
SUITE 125
ZIP Code
40222-4871
Phone
(502) 742-0460

Authorized Official

Name
LAURA KELLY WHITE, APRN
Title
PRESIDENT
Phone
(502) 403-0007

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily
Nurse Practitioner

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