OrganizationActive
A-List Medical LLC
NPI 1295550135 · Primary Care Nurse Practitioner · Louisville, KY
Provider details
- NPI number
- 1295550135
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Authorized official
- Elaina Burks, Coo
Practice location
3841 Ruckriegel Pkwy Ste 104
Louisville, KY 40299-3986
Phone: (502) 417-8600
Mailing address
3008 Christiana Woods Ct Ste 100
Louisville, KY 40299-2903
Registry dates
- Enumerated
- 2024-11-16
- Last updated
- 2024-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.