| Greater Louisville Internal Medicine Psc | |
|
9517 Us Highway 42 Prospect KY 40059-9237 | |
| (502) 587-0521 | |
| (502) 587-3901 |
| Full Name | Greater Louisville Internal Medicine Psc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9517 Us Highway 42, Prospect, Kentucky |
| Authorized Official Name and Position | Salvatore Ciliberti (VICE PRESIDENT) |
| Authorized Official Contact | 5025870521 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Louisville Internal Medicine Psc 9517 Us Highway 42 Prospect KY 40059-9237 Ph: (502) 587-0521 | Greater Louisville Internal Medicine Psc 9517 Us Highway 42 Prospect KY 40059-9237 Ph: (502) 587-0521 |
| NPI Number | 1407820533 |
|---|---|
| Provider Enumeration Date | 02/15/2006 |
| Last Update Date | 11/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407820533 | NPI | - | NPPES |
| 65901316 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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