Individual provider · NPI-1

Makenzie Dominique Delmonico

Health Educator · Louisville, KY

NPI number1992572010
StatusActive
Last updated in NPPESDec 8, 2023

Details

NPI
1992572010
Entity type
Individual (NPI-1)
Name
Makenzie Dominique Delmonico
Sex
Female
Sole proprietor
No
Enumeration date
Dec 8, 2023
Certification date
Dec 8, 2023
Last updated
Dec 8, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174H00000X Health Educator––Yes

Practice location

1720 W Broadway
Louisville, KY 40203-3607

Phone 502-935-9622

Mailing address

545 S 2nd St
Louisville, KY 40202-1801

Phone 502-587-9622

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