NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1952754749 | CONGLETON | BRADLEY | RANDALL |   | PO BOX 950244 | LOUISVILLE | KY | 402950244 |
1629087408 | LOUISSE | SUSAN | ALVAREZ |   | 2215 PORTLAND AVE | LOUISVILLE | KY | 402121033 |
1003224833 | LUCKETT | STEPHANIE | N |   | 2215 PORTLAND AVENUE | LOUISVILLE | KY | 402423214 |