A-List Medical LLC
Organization Active NPI Primary Care Nurse Practitioner · Louisville, KY
NPI 1295550135 · NPPES record last updated Nov 20, 2024
Key facts
- NPI
- 1295550135
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- Legal business name
- A-LIST MEDICAL LLC
- Practice address
- 3841 Ruckriegel Pkwy Ste 104
Louisville, KY 40299-3986 - Phone
- (502) 417-8600
- NPI assigned
- Nov 16, 2024
- Organization subpart
- No
Authorized official
- Name
- Elaina Burks
- Title
- Coo
- Phone
- (502) 417-8600
Practitioners 2
-
John S Miller, PHD
National Provider Directory
Locations
3841 Ruckriegel Pkwy
Ste 400
Louisville, KY 40299
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner |
363LP2300X | Yes |
Addresses
Primary practice location
3841 Ruckriegel Pkwy Ste 104
Louisville, KY 40299-3986
Mailing address
3008 Christiana Woods CT Ste 100
Louisville, KY 40299-2903
Phone (502) 780-1418
Other practice location 1
3841 Ruckriegel Pkwy Ste 104
Louisville, KY 40299-3986
Phone (502) 780-1418
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.