| Breckenridge Medical Group, Psc | |
|
974 Breckenridge Ln Suite 133 Louisville KY 40207-4619 | |
| (502) 909-3300 | |
| Not Available |
| Full Name | Breckenridge Medical Group, Psc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 974 Breckenridge Ln, Louisville, Kentucky |
| Authorized Official Name and Position | Tammy Carpenter (OFFICE MANAGER) |
| Authorized Official Contact | 5029093300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breckenridge Medical Group, Psc 974 Breckenridge Ln Suite 133 Louisville KY 40207-4619 Ph: (502) 909-3300 | Breckenridge Medical Group, Psc 974 Breckenridge Ln Suite 133 Louisville KY 40207-4619 Ph: (502) 909-3300 |
| NPI Number | 1881031680 |
|---|---|
| Provider Enumeration Date | 06/03/2013 |
| Last Update Date | 06/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881031680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | (* (Not Available)) | Secondary |
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