| Pearl Medical Practice Pllc | |
|
2202 Buechel Ave Ste 105 Louisville KY 40218-2672 | |
| (502) 456-0494 | |
| (502) 456-0496 |
| Full Name | Pearl Medical Practice Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2202 Buechel Ave Ste 105, Louisville, Kentucky |
| Authorized Official Name and Position | Osawaru Jude Omoruyi (OWNER) |
| Authorized Official Contact | 5024560494 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pearl Medical Practice Pllc Po Box 35294 Louisville KY 40232-5294 Ph: (502) 456-0494 | Pearl Medical Practice Pllc 2202 Buechel Ave Ste 105 Louisville KY 40218-2672 Ph: (502) 456-0494 |
| NPI Number | 1669841631 |
|---|---|
| Provider Enumeration Date | 09/21/2015 |
| Last Update Date | 01/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669841631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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