Salon Asa, LLC

NPI #1538405956 in Lexington, Kentucky

Provider Information

NPI Number
1538405956
Entity Type
Organization
Organization Name
Salon Asa, LLC
Primary Specialty
Health Maintenance Organization
Enumeration Date
Dec 13, 2012
Last Updated
Dec 13, 2012

Practice Location

Address
431 SOUTHLAND DR
ZIP Code
40503-1826
Phone
(859) 276-5335

Authorized Official

Name
MR. PAUL FRANKLIN GUMBERT
Title
ADMINISTRATOR
Phone
(859) 276-5335

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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