| Ulp Pediatric Healthy For Life | |
|
601 S Floyd St Suite 805 Louisville KY 40202-1835 | |
| (502) 852-7309 | |
| (502) 852-2908 |
| Full Name | Ulp Pediatric Healthy For Life |
|---|---|
| Speciality | Pediatrics |
| Location | 601 S Floyd St, Louisville, Kentucky |
| Authorized Official Name and Position | John Elliott (VP OF HR) |
| Authorized Official Contact | 5025884206 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ulp Pediatric Healthy For Life Po Box 909 Louisville KY 40201-0909 Ph: (502) 588-0320 | Ulp Pediatric Healthy For Life 601 S Floyd St Suite 805 Louisville KY 40202-1835 Ph: (502) 852-7309 |
| NPI Number | 1124375027 |
|---|---|
| Provider Enumeration Date | 08/09/2012 |
| Last Update Date | 08/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124375027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
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