| My Private Md Psc | |
|
175 S English Station Rd Louisville KY 40245-4160 | |
| (502) 253-6582 | |
| (502) 253-6585 |
| Full Name | My Private Md Psc |
|---|---|
| Speciality | Internal Medicine |
| Location | 175 S English Station Rd, Louisville, Kentucky |
| Authorized Official Name and Position | Thomas Prather Rankin (PRESIDENT) |
| Authorized Official Contact | 5022536582 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Private Md Psc 175 S English Station Rd Louisville KY 40245-4160 Ph: (502) 253-6582 | My Private Md Psc 175 S English Station Rd Louisville KY 40245-4160 Ph: (502) 253-6582 |
| NPI Number | 1851582688 |
|---|---|
| Provider Enumeration Date | 08/07/2007 |
| Last Update Date | 08/07/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851582688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 19902 (Marshall Islands) | Primary |
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