Individual provider · Type 1 NPI

Mark Alan Puckett

Sports Medicine (Family Medicine) Physician · Louisville, KY

NPI number 1649430794 Active

Practice location

2400 Eastpoint Pkwy, Suite 110
Louisville, KY 40223-4154

Fax (502) 253-6670

Mailing address

5200 Commerce Crossing, 3rd Floor
Louisville, KY 40229

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X45394 (KY)
Sports Medicine (Family Medicine) Physician Primary 207QS0010X45394 (KY)

Sports Medicine (Family Medicine) Physician: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomecha…

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About NPI 1649430794

Mark Alan Puckett's National Provider Identifier is 1649430794, issued on Jun 12, 2008. The primary taxonomy on file is Sports Medicine (Family Medicine) Physician (207QS0010X), and the practice location is in Louisville, KY. The record was last updated on Dec 17, 2020.