| Beargrass Medical Associates Psc | |
|
1169 Eastern Pkwy Ste 1234 Louisville KY 40217-1462 | |
| (502) 456-3990 | |
| (502) 456-3988 |
| Full Name | Beargrass Medical Associates Psc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1169 Eastern Pkwy, Louisville, Kentucky |
| Authorized Official Name and Position | Henry James Walter (PRESIDENT) |
| Authorized Official Contact | 5024563990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beargrass Medical Associates Psc 1169 Eastern Pkwy Ste 1234 Louisville KY 40217-1462 Ph: (502) 456-3990 | Beargrass Medical Associates Psc 1169 Eastern Pkwy Ste 1234 Louisville KY 40217-1462 Ph: (502) 456-3990 |
| NPI Number | 1477646446 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 03/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477646446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 215554 (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | 17516 (* (Not Available)) | Secondary |
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