| Neuroscience Associates Psc | |
|
3900 Kresge Way Suite 56 Louisville KY 40207-4683 | |
| (502) 895-7265 | |
| (502) 897-2113 |
| Full Name | Neuroscience Associates Psc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 3900 Kresge Way, Louisville, Kentucky |
| Authorized Official Name and Position | James E Mckiernan (PRESIDENT) |
| Authorized Official Contact | 5028957265 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuroscience Associates Psc 3900 Kresge Way Suite 56 Louisville KY 40207-4683 Ph: (502) 895-7265 | Neuroscience Associates Psc 3900 Kresge Way Suite 56 Louisville KY 40207-4683 Ph: (502) 895-7265 |
| NPI Number | 1669589172 |
|---|---|
| Provider Enumeration Date | 08/23/2006 |
| Last Update Date | 05/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669589172 | NPI | - | NPPES |
| 65904971 | Medicaid | KY | |
| CN0117 | Other | MEDICARE ID | |
| 100002940 | Medicaid | IN | |
| 1049098 | Medicaid | KY | |
| 5929 | Other | KY | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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