| Louisville Gastroenerology Assoc | |
|
1169 Eastern Pkwy G58 Louisville KY 40217 | |
| (502) 452-9567 | |
| (502) 473-0586 |
| Full Name | Louisville Gastroenerology Assoc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1169 Eastern Pkwy, Louisville, Kentucky |
| Authorized Official Name and Position | Paul E Brown (MANAGING MEMBER) |
| Authorized Official Contact | 5024529567 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Louisville Gastroenerology Assoc 1169 Eastern Pkwy G58 Louisville KY 40217 Ph: (502) 452-9567 | Louisville Gastroenerology Assoc 1169 Eastern Pkwy G58 Louisville KY 40217 Ph: (502) 452-9567 |
| NPI Number | 1952474785 |
|---|---|
| Provider Enumeration Date | 11/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952474785 | NPI | - | NPPES |
| 65933897 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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