| The Underwood And Lee Clinic | |
|
1800 Bluegrass Avenue, Ste A Louisville KY 40215 | |
| (502) 368-2348 | |
| (502) 368-2340 |
| Full Name | The Underwood And Lee Clinic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1800 Bluegrass Avenue, Ste A, Louisville, Kentucky |
| Authorized Official Name and Position | Henry David Hood (CCO) |
| Authorized Official Contact | 5023682348 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Underwood And Lee Clinic 1800 Bluegrass Avenue, Ste A Louisville KY 40215 Ph: (502) 368-2348 | The Underwood And Lee Clinic 1800 Bluegrass Avenue, Ste A Louisville KY 40215 Ph: (502) 368-2348 |
| NPI Number | 1700943826 |
|---|---|
| Provider Enumeration Date | 01/02/2007 |
| Last Update Date | 02/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700943826 | NPI | - | NPPES |
| 61901047 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6795 (Kentucky) | Primary |
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