Provider Demographics
NPI:1538952502
Name:SALMAN, SUZAN
Entity type:Individual
Prefix:
First Name:SUZAN
Middle Name:
Last Name:SALMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3928 BARDSTOWN RD STE 102
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40218-2670
Mailing Address - Country:US
Mailing Address - Phone:502-572-9562
Mailing Address - Fax:
Practice Address - Street 1:3928 BARDSTOWN RD STE 102
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40218-2670
Practice Address - Country:US
Practice Address - Phone:502-572-9562
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-23
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor