Susan Ann Raque
Susan Ann Raque is a Military Health Care Provider in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2022.
- Licensed in
- KY
- In the registry since
- 2022
Practice location Address checks out
1700 Cargo CtLouisville, KY 40299-1938
Phone: (800) 805-6989
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Military Health Care Provider (primary) | Taxonomy 171000000X · Licence 1082389 (KY) |
|---|
Record details
| NPI number | 1871248179 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 15, 2022 |
| Last updated in NPPES | February 15, 2022 |
| Certification date | February 15, 2022 |
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