NPI 1013014273

Eric D Elder, PAC

Practitioner Physician Assistant Louisville, KY

Practice location

Address: 4000 Kresge Way, Louisville, KY 40207-4605
Phone: (502) 899-7646
Fax: (502) 899-7648
Mailing address: PO Box 6749, Louisville, KY 40206-0749

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA932 (KY)

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Registry record

NPI: 1013014273
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Sep 2006
Record last updated: 11 Jun 2013

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.