Organization · Type 2 NPI

Commonwealth of Kentucky

Multi-Specialty Clinic/Center · Louisville, KY

NPI number 1114346467 Active

Practice location

1800 Bluegrass Ave
Louisville, KY 40215-1130

Fax (502) 366-0367

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1114346467

Commonwealth of Kentucky's National Provider Identifier is 1114346467, issued on Apr 15, 2014. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Louisville, KY. The record was last updated on Aug 7, 2024.