| Nunnally Watson Psc | |
|
3935 Dupont Cir Louisville KY 40207-4824 | |
| (502) 897-0141 | |
| Not Available |
| Full Name | Nunnally Watson Psc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3935 Dupont Cir, Louisville, Kentucky |
| Authorized Official Name and Position | Greg Nunnally (OWNER) |
| Authorized Official Contact | 5028970141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nunnally Watson Psc 3935 Dupont Cir Louisville KY 40207-4824 Ph: (502) 897-0141 | Nunnally Watson Psc 3935 Dupont Cir Louisville KY 40207-4824 Ph: (502) 897-0141 |
| NPI Number | 1679959050 |
|---|---|
| Provider Enumeration Date | 08/07/2015 |
| Last Update Date | 08/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679959050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 9663 (Kentucky) | Primary |
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