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Geriatric Medicine (Family Medicine) Physician · LOUISVILLE, KY

Organization Active NPI 1700142429

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Geriatric Medicine (Family Medicine) Physician207QG0300X
Geriatric Medicine (Internal Medicine) Physician207RG0300X

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.