Dr. Michelle Eileen Elisburg, MD
Pediatrics in Louisville, KY. Individual provider (NPI-1).
NPI number1679572309
StatusActive
Last updated in NPPESApr 13, 2021
Details
- NPI
- 1679572309
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michelle Eileen Elisburg
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 15, 2005
- Certification date
- Apr 13, 2021
- Last updated
- Apr 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 39801 | KY | Yes |
Practice location
2215 Portland AveLouisville, KY 40212-1033
Phone 502-774-8631 · Fax 502-776-8912
Mailing address
Po Box 950244Louisville, KY 40295-0244
Phone 502-953-4700 · Fax 502-776-8912
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