NPI 1083347827
Welgen One of Kentucky LLC
Practice location
- Address
- 629 S 4th St STE 301, Louisville, KY 40202-2461
- Phone
- (833) 935-4361
Authorised official
- Name
- Shanira Delacruz
- Title
- President
- Phone
- (201) 233-2155
Registered specialties (5)
General Practice Physician
Primary
Counselor
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
Registered Record Administrator
Nurse Practitioner
Registry record
- NPI
- 1083347827
- Entity type
- Organization
- NPI issued
- 8 Jul 2022
- Record last updated
- 4 Nov 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.