Organization · Type 2 NPI

Kentuckiana Pain Specialist Ambulatory Surgery Center

Ambulatory Surgical Clinic/Center · Louisville, KY

NPI number 1083124366 Active

Practice location

3710 Chamberlain Ln Ste B
Louisville, KY 40241-2002

Call (502) 995-4004 Map

Fax (502) 933-5559

Mailing address

PO Box 24321
Louisville, KY 40224-0321

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000XKY36217 (KY)
Ambulatory Surgical Clinic/Center Primary 261QA1903XNone listed
Durable Medical Equipment & Medical Supplies 332B00000XNone listed

Ambulatory Surgical Clinic/Center: Definition to come...

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About NPI 1083124366

Kentuckiana Pain Specialist Ambulatory Surgery Center's National Provider Identifier is 1083124366, issued on Oct 2, 2017. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Louisville, KY. The record was last updated on Oct 21, 2021.