| University Family & Geriatric Medicine Associates Inc | |
|
215 Central Ave Ste 102 Louisville KY 40208-1418 | |
| (502) 852-7449 | |
| (502) 852-1423 |
| Full Name | University Family & Geriatric Medicine Associates Inc |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 215 Central Ave, Louisville, Kentucky |
| Authorized Official Name and Position | James G. O'brien (DEPARTMENT CHAIR) |
| Authorized Official Contact | 5028528498 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Family & Geriatric Medicine Associates Inc 501 E Broadway Ste 240 Louisville KY 40202-1785 Ph: (502) 852-2501 | University Family & Geriatric Medicine Associates Inc 215 Central Ave Ste 102 Louisville KY 40208-1418 Ph: (502) 852-7449 |
| NPI Number | 1043484652 |
|---|---|
| Provider Enumeration Date | 04/15/2008 |
| Last Update Date | 11/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043484652 | NPI | - | NPPES |
| 7100039550 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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