| Kentuckiana Center For Addiction Medicine | |
|
1939 Goldsmith Ln Ste 100 Louisville KY 40218-3090 | |
| (502) 873-7517 | |
| (502) 365-2876 |
| Full Name | Kentuckiana Center For Addiction Medicine |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Medicine |
| Location | 1939 Goldsmith Ln Ste 100, Louisville, Kentucky |
| Authorized Official Name and Position | Bruce Melvin Cohen (MEMBER) |
| Authorized Official Contact | 5025512460 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kentuckiana Center For Addiction Medicine 9462 Brownsboro Rd # 357 Louisville KY 40241-1118 Ph: (502) 873-7517 | Kentuckiana Center For Addiction Medicine 1939 Goldsmith Ln Ste 100 Louisville KY 40218-3090 Ph: (502) 873-7517 |
| NPI Number | 1285103937 |
|---|---|
| Provider Enumeration Date | 11/23/2018 |
| Last Update Date | 04/20/2021 |
| Certification Date | 04/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285103937 | NPI | - | NPPES |
| 2144175 | Other | KY | WELLCARE |
| 7100598570 | Medicaid | KY | |
| PDZ000000400708 | Other | AETNA BETTER HEALTH | |
| 000001237803 | Other | KY | ANTHEM |
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