| Onrequest Louisville Llc | |
|
10200 Forest Green Blvd Ste 112 Louisville KY 40223-5167 | |
| (502) 901-2190 | |
| Not Available |
| Full Name | Onrequest Louisville Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 10200 Forest Green Blvd Ste 112, Louisville, Kentucky |
| Authorized Official Name and Position | Robert Gary Pope (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2399087775 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Onrequest Louisville Llc 10200 Forest Green Blvd Ste 112 Louisville KY 40223-5167 Ph: (502) 901-2190 | Onrequest Louisville Llc 10200 Forest Green Blvd Ste 112 Louisville KY 40223-5167 Ph: (502) 901-2190 |
| NPI Number | 1841055571 |
|---|---|
| Provider Enumeration Date | 02/21/2024 |
| Last Update Date | 02/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841055571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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