Search › Kentucky › 171R00000X
Faddy Mambandu
NPI 1194699116 · on the registry since 2025 · sole proprietor
Practice
- Address
- 4801 Southside Dr
Louisville, KY 40214 - Phone
- (502) 333-2475
Registry record
- Primary taxonomy
- 171R00000X
171R00000X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-10-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky