| Kentucky Geriatrics Psc | |
|
1705 Herr Ln Louisville KY 40222-6545 | |
| (502) 544-6442 | |
| (502) 426-5493 |
| Full Name | Kentucky Geriatrics Psc |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 1705 Herr Ln, Louisville, Kentucky |
| Authorized Official Name and Position | Beyla Zuberi (OWNER) |
| Authorized Official Contact | 5025446442 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kentucky Geriatrics Psc Po Box 950231 Louisville KY 40295-0231 Ph: (502) 814-3170 | Kentucky Geriatrics Psc 1705 Herr Ln Louisville KY 40222-6545 Ph: (502) 544-6442 |
| NPI Number | 1689674186 |
|---|---|
| Provider Enumeration Date | 07/26/2005 |
| Last Update Date | 06/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689674186 | NPI | - | NPPES |
| DD4794 | Other | KY | RAILROAD MEDICARE |
| 65943813 | Medicaid | KY |
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