DAVID S DECKER, MD PSC
Ambulatory Health at Bardstown Rd, Louisville, KY

License number
Kentucky 23642
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. DAVID S DECKER MD
Title: OWNER
Phone: (502) 499-0588
Address
Address
4311 Bardstown Rd, Louisville, KY 40218
National Provider ID: 1063615268
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DR. DAVID S. DECKER, M.D., P.S.C

4311 Bardstown Rd, Louisville, KY 40218

Status:
Inactive
Registration:
Feb 16, 2005
State ID:
0606267
Business type:
Kentucky Professional Services Corp
Incorporator:
David S. Decker, M.d (Incorporator)

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