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NPI Provider: 1508861139
Contact Name: Heine J. Kevin
Position: President
Phone: (502) 893-0220
Gastro East Physicians, Pllc Information:
Gastro East Physicians, Pllc organization have npi 1508861139, taxonomy code is 174400000X with license number is 207RG0100X in . This Business address located in 3950 Kresge Way, Louisville, KY 40207 Kentucky. Get directions of Gastro East Physicians, Pllc.
Practice Location
Address: 3950 Kresge Way, Louisville, KY 40207
Phone: (502) 893-0220
Business Location
Address: 3950 Kresge Way, Louisville, KY 40207
Phone: (502) 893-0220
Fax: (502) 893-0563
Taxonomy
Taxonomy Code: 174400000X
License Number: 207RG0100X
License Number of State: KY
Primary Taxonomy Switch: Y
Enumeration Date: 6/20/2005
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