| Norton Audubon Wound Care Center | |
|
4803 Olympia Park Plz Ste 1100 Louisville KY 40241-3068 | |
| (502) 272-5165 | |
| (502) 272-5339 |
| Full Name | Norton Audubon Wound Care Center |
|---|---|
| Speciality | Family Medicine |
| Location | 4803 Olympia Park Plz Ste 1100, Louisville, Kentucky |
| Authorized Official Name and Position | Shelley Gast (VP MANAGED CARE) |
| Authorized Official Contact | 5025889490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Norton Audubon Wound Care Center Po Box 776351 Chicago IL 60677-6351 Ph: (502) 272-5165 | Norton Audubon Wound Care Center 4803 Olympia Park Plz Ste 1100 Louisville KY 40241-3068 Ph: (502) 272-5165 |
| NPI Number | 1780182386 |
|---|---|
| Provider Enumeration Date | 01/29/2018 |
| Last Update Date | 09/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780182386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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