Tender Pain Care Clinic, Psc | |
801 Barret Ave Suite 104 Louisville KY 40204-1747 | |
(502) 589-9310 | |
(502) 583-5560 |
Full Name | Tender Pain Care Clinic, Psc |
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Speciality | Internal Medicine |
Location | 801 Barret Ave, Louisville, Kentucky |
Authorized Official Name and Position | Mazen Khayat (PRESIDENT) |
Authorized Official Contact | 5025899310 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tender Pain Care Clinic, Psc 801 Barret Ave Louisville KY 40204-1747 Ph: (502) 228-8020 | Tender Pain Care Clinic, Psc 801 Barret Ave Suite 104 Louisville KY 40204-1747 Ph: (502) 589-9310 |
NPI Number | 1639248578 |
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Provider Enumeration Date | 11/07/2006 |
Last Update Date | 10/24/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639248578 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 32485 (Kentucky) | Primary |
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