| David S Decker, Md Psc | |
|
4311 Bardstown Rd Louisville KY 40218-3233 | |
| (502) 499-0688 | |
| (502) 499-0689 |
| Full Name | David S Decker, Md Psc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4311 Bardstown Rd, Louisville, Kentucky |
| Authorized Official Name and Position | David S Decker (OWNER) |
| Authorized Official Contact | 5024990588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David S Decker, Md Psc 4311 Bardstown Rd Louisville KY 40218-3233 Ph: (502) 499-0688 | David S Decker, Md Psc 4311 Bardstown Rd Louisville KY 40218-3233 Ph: (502) 499-0688 |
| NPI Number | 1063615268 |
|---|---|
| Provider Enumeration Date | 06/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063615268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 23642 (Kentucky) | Primary |
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