Radiant
Radiant provides General Practice Physician services in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2016.
- Licensed in
- KY
- In the registry since
- 2016
- Specialties on file
- 3
Practice location Address checks out
2301 Terra Crossing Blvd Ste 103Louisville, KY 40245-4994
Phone: (304) 687-4204
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X · Licence 22964 (KY) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence PA1075 (KY) |
| Family Nurse Practitioner | Taxonomy 363LF0000X · Licence 3007017 (KY) |
Record details
| NPI number | 1831555143 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tiffany Smith — President · (304) 687-4204 |
| NPI enumerated | January 4, 2016 |
| Last updated in NPPES | October 3, 2022 |
| Certification date | October 3, 2022 |
| Mailing address | 2301 Terra Crossing Blvd Ste 103, Louisville, KY 40245-3909 |
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