| Ulrf Sports Medicine | |
|
215 Central Ave Suite 200 Louisville KY 40208-1449 | |
| (502) 637-9313 | |
| Not Available |
| Full Name | Ulrf Sports Medicine |
|---|---|
| Speciality | Family Medicine - Sports Medicine |
| Location | 215 Central Ave, Louisville, Kentucky |
| Authorized Official Name and Position | David Dunn (EVP OF HEALTH AFFAIRS) |
| Authorized Official Contact | 5028525184 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ulrf Sports Medicine Po Box 909 Louisville KY 40201-0909 Ph: (502) 588-0320 | Ulrf Sports Medicine 215 Central Ave Suite 200 Louisville KY 40208-1449 Ph: (502) 637-9313 |
| NPI Number | 1396176541 |
|---|---|
| Provider Enumeration Date | 12/12/2013 |
| Last Update Date | 12/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396176541 | NPI | - | NPPES |
| 65900474 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
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