Organization · Type 2 NPI

Commonwealth Correctional Care

Family Medicine Physician · Louisville, KY

NPI number 1649060997 Active

Practice location

15402 Champion Lakes Pl
Louisville, KY 40245-5601

Call (502) 552-3879 Map

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed

Family Medicine Physician: 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 is not limited by age, sex, organ system, or disease entity.

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About NPI 1649060997

Commonwealth Correctional Care's National Provider Identifier is 1649060997, issued on May 9, 2025. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Louisville, KY. The record was last updated on May 9, 2025.