Kentuckiana Allergy Psc

Specialty details in registry · Louisville, KY

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At a glance

9113 Leesgate Rd, Louisville, KY 40222-5003

NPPES record updated Jun 19, 2014. Public records can lag behind changes at a practice.

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Practice location

9113 Leesgate Rd
Louisville, KY 40222-5003

Professional details: NPI, taxonomy & registry record

NPI1790891125

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 207K00000X
Enumeration date: Aug 21, 2006
Record updated: Jun 19, 2014

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

207K00000X · Primary

Family Nurse Practitioner

363LF0000X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

9113 Leesgate Rd
Louisville, KY 40222-5003

Phone: (502) 426-1621
Fax: (502) 426-7906

Mailing address

9113 LEESGATE RD

LOUISVILLE, KY 402225003

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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