| Kentucky Injury Care Centers, Llc | |
|
4640 Dixie Hwy Louisville KY 40216-2606 | |
| (502) 482-3007 | |
| (859) 647-2349 |
| Full Name | Kentucky Injury Care Centers, Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 4640 Dixie Hwy, Louisville, Kentucky |
| Authorized Official Name and Position | Samuel Forlenza (OWNER) |
| Authorized Official Contact | 8593935905 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kentucky Injury Care Centers, Llc Po Box 558 Union KY 41091-0558 Ph: (502) 482-3007 | Kentucky Injury Care Centers, Llc 4640 Dixie Hwy Louisville KY 40216-2606 Ph: (502) 482-3007 |
| NPI Number | 1972379782 |
|---|---|
| Provider Enumeration Date | 12/01/2023 |
| Last Update Date | 12/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972379782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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