| Commonwealth Family Medicine Pllc | |
|
12400 Shelbyville Rd Louisville KY 40243-1419 | |
| (502) 883-2218 | |
| Not Available |
| Full Name | Commonwealth Family Medicine Pllc |
|---|---|
| Speciality | Nurse Practitioner - Family |
| Location | 12400 Shelbyville Rd, Louisville, Kentucky |
| Authorized Official Name and Position | Ray Charles Kennedy (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5023778138 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Commonwealth Family Medicine Pllc 12400 Shelbyville Road Louisville KY 40245-4313 Ph: (502) 883-2218 | Commonwealth Family Medicine Pllc 12400 Shelbyville Rd Louisville KY 40243-1419 Ph: (502) 883-2218 |
| NPI Number | 1902227937 |
|---|---|
| Provider Enumeration Date | 12/17/2013 |
| Last Update Date | 08/03/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902227937 | NPI | - | NPPES |
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