| U Of L Family Medicine Geriatrics | |
|
215 Central Ave 102 Louisville KY 40208 | |
| (502) 852-7449 | |
| (502) 852-1423 |
| Full Name | U Of L Family Medicine Geriatrics |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 215 Central Ave, Louisville, Kentucky |
| Authorized Official Name and Position | Belinda S Love (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5025626783 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| U Of L Family Medicine Geriatrics 501 E Broadway Ste 120 Louisville KY 40202 Ph: (502) 562-6783 | U Of L Family Medicine Geriatrics 215 Central Ave 102 Louisville KY 40208 Ph: (502) 852-7449 |
| NPI Number | 1902862857 |
|---|---|
| Provider Enumeration Date | 04/20/2006 |
| Last Update Date | 02/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902862857 | NPI | - | NPPES |
| 31000102 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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