MARK PUCKETT

Family Medicine - Sports Medicine

Active Individual
NPI: 1649430794

Practice Address

2400 EASTPOINT PKWY
SUITE 110
Louisville, KY 40223

Phone: (502) 253-6699

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X No 45394 (KY)
Family Medicine - Sports Medicine 207QS0010X Yes 45394 (KY)

Frequently Asked Questions

NPI 1649430794 is the National Provider Identifier for MARK PUCKETT, a Family Medicine - Sports Medicine provider located in Louisville, KY. This NPI was enumerated on June 12, 2008.
MARK PUCKETT practices at 2400 EASTPOINT PKWY, SUITE 110, Louisville, KY 40223.

Quick Facts

NPI
1649430794
Type
Individual
Enumerated
Jun 12, 2008
Last Updated
Dec 17, 2020

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