Organization · Type 2 NPI

Bluegrass Allergy and Asthma

Allergy & Immunology (Internal Medicine) Physician · Louisville, KY

NPI number 1962691923 Active

Practice location

11900 Plantside Dr, Ste 9
Louisville, KY 40299-6367

Fax (502) 267-1715

Specialties and licenses

TaxonomyCodeLicense
Allergy & Immunology (Internal Medicine) Physician Primary 207RA0201X34409 (KY)

Allergy & Immunology (Internal Medicine) Physician: An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.

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About NPI 1962691923

Bluegrass Allergy and Asthma's National Provider Identifier is 1962691923, issued on Oct 16, 2007. The primary taxonomy on file is Allergy & Immunology (Internal Medicine) Physician (207RA0201X), and the practice location is in Louisville, KY. The record was last updated on Jan 15, 2008.