Most Relevant Information
Provider Data
| NPI Number: | 1003518176 |
| Provider Name: | BROOKE GORDON |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/21/2023 |
| Last Updated: | 06/17/2024 |
Provider Practice Location
312 WHITTINGTON PKWY STE 200
LOUISVILLE
KY
402224925
Practice Location Phone/Fax
| Phone: | 5026159286 |
| Fax: | 5024291255 |
Provider Mailing Location
1351 NEWTOWN PIKE BLDG 1
LEXINGTON
KY
405111277
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |