A New Journey
General Practice in Louisville, KY. Organization (NPI-2).
NPI number1528519113
StatusActive
Last updated in NPPESOct 18, 2016
Details
- NPI
- 1528519113
- Entity type
- Organization (NPI-2)
- Legal business name
- A New Journey
- Organization subpart
- No
- Enumeration date
- Oct 18, 2016
- Last updated
- Oct 18, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | – | – | Yes |
Practice location
4100 Cadillac CtLouisville, KY 40213-1591
Phone 724-766-9578
Mailing address
4100 Cadillac CtLouisville, KY 40213-1591
Phone 724-766-9578
Authorized official
Allen Sperry
Consultant
8599404987
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