Organization · Type 2 NPI

Radiant

General Practice Physician · Louisville, KY

NPI number 1831555143 Active

Practice location

2301 Terra Crossing Blvd, Ste 103
Louisville, KY 40245-4994

Mailing address

2301 Terra Crossing Blvd Ste 103
Louisville, KY 40245-3909

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000X22964 (KY)
Physician Assistant 363A00000XPA1075 (KY)
Family Nurse Practitioner 363LF0000X3007017 (KY)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

4 other providers at this address

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About NPI 1831555143

Radiant's National Provider Identifier is 1831555143, issued on Jan 4, 2016. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Louisville, KY. The record was last updated on Oct 3, 2022.