Radiant
NPI #1831555143 in Louisville, Kentucky
Provider Information
- NPI Number
- 1831555143
- Entity Type
- Organization
- Organization Name
- Radiant
- Primary Specialty
- General Practice
- Enumeration Date
- Jan 4, 2016
- Last Updated
- Oct 3, 2022
Practice Location
- Address
- 2301 TERRA CROSSING BLVD
- Address 2
- STE 103
- City
- Louisville
- State
- Kentucky
- ZIP Code
- 40245-4994
- Phone
- (304) 687-4204
Authorized Official
- Name
- MS. TIFFANY SMITH, PA-C
- Title
- PRESIDENT
- Phone
- (304) 687-4204
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Nurse Practitioner - Family — Family |
| General Practice |
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