| Norton Children's Medical Group, Llc | |
|
4803 Olympia Park Plz Ste 1100 Louisville KY 40241-3068 | |
| (502) 272-5335 | |
| (502) 272-5339 |
| Full Name | Norton Children's Medical Group, Llc |
|---|---|
| Speciality | Pediatrics - Pediatric Cardiology |
| Location | 4803 Olympia Park Plz Ste 1100, Louisville, Kentucky |
| Authorized Official Name and Position | Shelley Gast (SYST VP OF MNGD CARE & PAYOR STRAT) |
| Authorized Official Contact | 5022725335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Norton Children's Medical Group, Llc Po Box 776879 Chicago IL 60677-6879 Ph: (502) 272-5336 | Norton Children's Medical Group, Llc 4803 Olympia Park Plz Ste 1100 Louisville KY 40241-3068 Ph: (502) 272-5335 |
| NPI Number | 1710528336 |
|---|---|
| Provider Enumeration Date | 10/04/2019 |
| Last Update Date | 09/22/2021 |
| Certification Date | 09/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710528336 | NPI | - | NPPES |
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