Mark Alan Puckett in Louisville - Family Medicine
Mark Alan Puckett - NPI 1649430794
Mark Alan Puckett is a Family Medicine in Louisville, Kentucky. Mark Alan Puckett practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mark Alan Puckett is 1649430794. The last update date is 2020-12-17.
Mark Alan Puckett's current location address is 2400 Eastpoint Pkwy, Louisville, Kentucky. You can contact this provider via phone number 5022536699 and fax number 5022536670. The mailing address for Mark Alan Puckett is 2400 Eastpoint Pkwy, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Alan Puckett |
|---|---|
| Address | 2400 Eastpoint Pkwy, Louisville, Kentucky |
| Phone Number | 5022536699 |
| Fax Number | 5022536670 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1649430794 |
|---|---|
| Provider Enumeration Date | 2008-06-12 |
| Last Updated Date | 2020-12-17 |
Provider Mailing Address Detail
| Address | 2400 Eastpoint Pkwy |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 402234154 |
| Phone Number | 5022536699 |
| Fax Number | 5022536670 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 45394 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7100209760 | KY | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Mark Alan Puckett by the Centers for Medicare & Medicaid Services?
The Mark Alan Puckett has been issued the NPI (National Provider Identifier) 1649430794. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Mark Alan Puckett?
The Mark Alan Puckett is physically situated at 2400 Eastpoint Pkwy, in the city of Louisville, state of KY, with the postal code 402234154.
What is the Mark Alan Puckett's area of specialization and corresponding taxonomy classification?
The Mark Alan Puckett's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1649430794 to Mark Alan Puckett?
The Mark Alan Puckett received its 1649430794 assignment from the Centers for Medicare & Medicaid Services on 2008-06-12.
As of what date were the Mark Alan Puckett's details last updated?
The information pertaining to the Mark Alan Puckett, including its address, specialty, and other details, was most recently updated on 2020-12-17.
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