| Medical Center Internists, Psc | |
|
225 Abraham Flexner Way Suite 304 Louisville KY 40202-1846 | |
| (502) 585-1200 | |
| (502) 585-1207 |
| Full Name | Medical Center Internists, Psc |
|---|---|
| Speciality | Internal Medicine |
| Location | 225 Abraham Flexner Way, Louisville, Kentucky |
| Authorized Official Name and Position | Keith B Carter (MEDICAL DOCTOR) |
| Authorized Official Contact | 5025851200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Center Internists, Psc 225 Abraham Flexner Way Suite 304 Louisville KY 40202-1846 Ph: (502) 585-1200 | Medical Center Internists, Psc 225 Abraham Flexner Way Suite 304 Louisville KY 40202-1846 Ph: (502) 585-1200 |
| NPI Number | 1699767327 |
|---|---|
| Provider Enumeration Date | 08/18/2005 |
| Last Update Date | 08/31/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699767327 | NPI | - | NPPES |
| 1065802 | Other | KY | PASSPORT |
| 65923633 | Medicaid | KY | |
| 100461020A | Other | KY | INDIANA MEDICAID |
| CN6296 | Other | KY | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 24559 25176 32796 (Kentucky) | Primary |
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