| Gml Pain Md Psc | |
|
110 Chase Way Elizabethtown KY 42701-7827 | |
| (502) 212-0071 | |
| (502) 253-0303 |
| Full Name | Gml Pain Md Psc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 110 Chase Way, Elizabethtown, Kentucky |
| Authorized Official Name and Position | Ashley Alexander (PRACTICE MANAGER) |
| Authorized Official Contact | 5022530505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gml Pain Md Psc 11320 Maple Brook Dr Louisville KY 40241-2080 Ph: (832) 837-9197 | Gml Pain Md Psc 110 Chase Way Elizabethtown KY 42701-7827 Ph: (502) 212-0071 |
| NPI Number | 1609481464 |
|---|---|
| Provider Enumeration Date | 09/09/2020 |
| Last Update Date | 09/09/2020 |
| Certification Date | 08/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609481464 | NPI | - | NPPES |
| 64437411 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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