| Welgen One Of Kentucky Llc | |
|
629 S 4th St Ste 301 Louisville KY 40202-2461 | |
| (833) 935-4361 | |
| Not Available |
| Full Name | Welgen One Of Kentucky Llc |
|---|---|
| Speciality | General Practice |
| Location | 629 S 4th St Ste 301, Louisville, Kentucky |
| Authorized Official Name and Position | Shanira Delacruz (PRESIDENT) |
| Authorized Official Contact | 2012332155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Welgen One Of Kentucky Llc 629 S 4th St Ste 301 Louisville KY 40202-2461 Ph: (833) 935-4361 | Welgen One Of Kentucky Llc 629 S 4th St Ste 301 Louisville KY 40202-2461 Ph: (833) 935-4361 |
| NPI Number | 1083347827 |
|---|---|
| Provider Enumeration Date | 07/08/2022 |
| Last Update Date | 11/04/2022 |
| Certification Date | 11/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083347827 | NPI | - | NPPES |
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