person
Charles Amos Bush II
Vascular Surgery Physician in Louisville, Kentucky
NPI 1619361680

Charles Amos Bush II is a Vascular Surgery Physician based in Louisville, KY and is specialized in Vascular Surgery. Charles Amos Bush II practices in Louisville, KY. The NPI Number for Charles Amos Bush II is 1619361680 and holds a License No. 01087790A (Kentucky).

The current practice location address for Charles Amos Bush II is 4003 Kresge Way Ste 300, Louisville, KY and can be reached out via phone at 502-897-5139 and via fax at 502-896-6218.

Location: 4003 Kresge Way Ste 300, Louisville, KY, 40229-2182
person
Provider Profile Details
NPI Number
1619361680
Provider Name
Charles Amos Bush II
Credential
Provider Entity Type
Individual
Gender
Male
Address
4003 Kresge Way Ste 300, Louisville, KY, 40229-2182
Phone Number
502-897-5139
Fax Number
502-896-6218
Provider Enumeration Date
03/26/2015
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
4003 Kresge Way Ste 300
City
State
Zip
40207-4652
Phone Number
502-897-5139
Fax Number
502-896-6218
person
Provider Business Mailing Address Details
Address
4003 Kresge Way Ste 300
City
State
Zip
40207-4652
Phone Number
502-897-5139
Fax Number
502-896-6218
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
License No.
()
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
01087790A (Indiana)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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