Louisville & So Indiana Pulmonary Care
NPI #1417366279 in Louisville, Kentucky
Provider Information
- NPI Number
- 1417366279
- Entity Type
- Organization
- Organization Name
- Louisville & So Indiana Pulmonary Care
- Primary Specialty
- Nurse Practitioner - Critical Care Medicine
- Enumeration Date
- Aug 6, 2014
- Last Updated
- Aug 6, 2014
Practice Location
- Address
- 4402 CHURCHMAN AVE
- Address 2
- STE 409
- City
- Louisville
- State
- Kentucky
- ZIP Code
- 40215-1190
- Phone
- (502) 368-9561
Authorized Official
- Name
- STACY L RALSTON
- Title
- PRACTICE ADMINISTATOR
- Phone
- (502) 368-9561
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Critical Care Medicine — Critical Care Medicine |
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