Organization · Type 2 NPI
Pearl Medical Practice PLLC
Primary Care Clinic/Center · Louisville, KY
NPI number
1114261203
Active
Practice location
4200 Gardiner View Ave, Suite 200
Louisville, KY 40213-1877
Fax (502) 456-0496
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | None listed |
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
| Physician Assistant | 363A00000X | None listed |
| Adult Health Nurse Practitioner | 363LA2200X | None listed |
| Family Nurse Practitioner | 363LF0000X | None listed |
Primary Care Clinic/Center: Definition to come...
3 other providers at this address
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About NPI 1114261203
Pearl Medical Practice PLLC's National Provider Identifier is 1114261203, issued on Nov 15, 2012. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Louisville, KY. The record was last updated on Oct 2, 2015.