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NPI Profile for JENCARE NEIGHBORHOOD MEDICAL VALLEY STATION LLC in LOUISVILLE, KY.
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Specialist |
174400000X | |||
Non-Pharmacy Dispensing Site |
332900000X | 87 | All Other Suppliers |
| NPI # | 1295091999 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/06/2012 | |
| Last updated | 10/31/2024 - More than a year ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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JENCARE NEIGHBORHOOD MEDICAL VALLEY STATION, LLC