Louisville Cardiology Medical Group, Psc in Louisville - Specialist

Louisville Cardiology Medical Group, Psc - NPI 1508936261

Louisville Cardiology Medical Group, Psc is a Specialist in Louisville, Kentucky. Louisville Cardiology Medical Group, Psc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Louisville Cardiology Medical Group, Psc is 1508936261. The last update date is 2010-03-18.

Louisville Cardiology Medical Group, Psc's current location address is 3900 Kresge Way, Louisville, Kentucky. You can contact this provider via phone number 5028937710 and fax number 5028931391. The mailing address for Louisville Cardiology Medical Group, Psc is 3900 Kresge Way, Louisville, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Organization Louisville Cardiology Medical Group, Psc
Address 3900 Kresge Way, Louisville, Kentucky
Phone Number 5028937710
Fax Number 5028931391
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Licandro F. Rudolph
Credentials M.D.
Telephone Number 5028937710

NPI Number Detail

NPI Number 1508936261
Provider Enumeration Date 2006-11-09
Last Updated Date 2010-03-18

Provider Mailing Address Detail

Address 3900 Kresge Way
City Louisville
State Kentucky (KY)
Post Code 402074660
Phone Number 5028937710
Fax Number 5028931391

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No KY
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
65929820 KY --

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FAQs about Louisville Cardiology Medical Group, Psc

What is the unique identifier code issued to Louisville Cardiology Medical Group, Psc by the Centers for Medicare & Medicaid Services (CMS)?

The Louisville Cardiology Medical Group, Psc has been assigned the NPI (National Provider Identifier) 1508936261. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical address where Louisville Cardiology Medical Group, Psc is geographically located?

The Louisville Cardiology Medical Group, Psc is physically situated at the following location: 3900 Kresge Way, Louisville, KY, 402074660.

What is the area of specialization for Louisville Cardiology Medical Group, Psc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Louisville Cardiology Medical Group, Psc is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.

On what date did the Louisville Cardiology Medical Group, Psc receive the assignment of its 1508936261 from the Centers for Medicare & Medicaid Services?

The Louisville Cardiology Medical Group, Psc was issued its 1508936261 by the Centers for Medicare & Medicaid Services on 2006-11-09.

When was the information related to Louisville Cardiology Medical Group, Psc most recently updated or refreshed?

The details pertaining to the Louisville Cardiology Medical Group, Psc, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-03-18.

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