| Md2u Iah Llc | |
|
140 Whittington Pkwy Ste 100 Louisville KY 40222-4930 | |
| (502) 327-9100 | |
| (855) 632-8329 |
| Full Name | Md2u Iah Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 140 Whittington Pkwy Ste 100, Louisville, Kentucky |
| Authorized Official Name and Position | Gregory David Latta (CIO/MEMBER) |
| Authorized Official Contact | 5024161851 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Md2u Iah Llc 140 Whittington Pkwy Ste 100 Louisville KY 40222-4930 Ph: (502) 327-9100 | Md2u Iah Llc 140 Whittington Pkwy Ste 100 Louisville KY 40222-4930 Ph: (502) 327-9100 |
| NPI Number | 1225430812 |
|---|---|
| Provider Enumeration Date | 09/25/2014 |
| Last Update Date | 09/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225430812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
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