Search › Kentucky › 363LF0000X
Madison Job
NPI 1902738834 · on the registry since 2026
Practice
- Address
- 2400 Eastpoint Pkwy # 350
Louisville, KY 40223 - Phone
- (502) 928-8970
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-06-03
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