is a Internal Medicine in Louisville, Kentucky. practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for is 1922050103. The last update date is .
's current location address is 200 E Chestnut St Bldg Suite303, Louisville, Kentucky. You can contact this provider via phone number 5026295552 and fax number 5026293132. The mailing address for is 200 E Chestnut St Bldg Suite303, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 200 E Chestnut St Bldg Suite303, Louisville, Kentucky |
| Phone Number | 5026295552 |
| Fax Number | 5026293132 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1922050103 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 200 E Chestnut St Bldg Suite303 |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 402020 |
| Phone Number | 5026295552 |
| Fax Number | 5026293132 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 25249 |
|
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 64252497 | KY | -- | |
| 100360780 | IN | -- |
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