| Louisville Family & Sports Medicine Psc | |
|
9420 Brownsboro Rd Louisville KY 40241-1118 | |
| (502) 426-4264 | |
| (402) 426-4221 |
| Full Name | Louisville Family & Sports Medicine Psc |
|---|---|
| Speciality | Family Medicine - Sports Medicine |
| Location | 9420 Brownsboro Rd, Louisville, Kentucky |
| Authorized Official Name and Position | Gregory V Potts (PRESIDENT) |
| Authorized Official Contact | 5024264264 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Louisville Family & Sports Medicine Psc 9420 Brownsboro Rd Louisville KY 40241-1118 Ph: (502) 426-4264 | Louisville Family & Sports Medicine Psc 9420 Brownsboro Rd Louisville KY 40241-1118 Ph: (502) 426-4264 |
| NPI Number | 1184663015 |
|---|---|
| Provider Enumeration Date | 06/06/2006 |
| Last Update Date | 03/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184663015 | NPI | - | NPPES |
| 000000346469 | Other | KY | ANTHM BCBS-ST |
| 6593237800 | Medicaid | KY | |
| 000000052204 | Other | KY | ANTHEM BCBS-CP |
| 000000052203 | Other | KY | ANTHEM BCBS-GP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
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