Organization · NPI-2

A-List Medical LLC

Nurse Practitioner, Primary Care · Louisville, KY

NPI number1295550135
StatusActive
Last updated in NPPESNov 20, 2024

Details

NPI
1295550135
Entity type
Organization (NPI-2)
Legal business name
A-List Medical LLC
Organization subpart
No
Enumeration date
Nov 16, 2024
Certification date
Nov 20, 2024
Last updated
Nov 20, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP2300X Nurse Practitioner, Primary Care––Yes

Practice location

3841 Ruckriegel Pkwy Ste 104
Louisville, KY 40299-3986

Phone 502-417-8600

Mailing address

3008 Christiana Woods Ct Ste 100
Louisville, KY 40299-2903

Phone 502-780-1418

Other practice locations

3841 Ruckriegel Pkwy Ste 104
Louisville, KY 40299-3986

Phone 502-780-1418

Authorized official

Elaina Burks
Coo
5024178600

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