| University Family Practice Assoc. Psc | |
|
530 S Jackson St Louisville KY 40202 | |
| (502) 562-6503 | |
| Not Available |
| Full Name | University Family Practice Assoc. Psc |
|---|---|
| Speciality | Family Medicine |
| Location | 530 S Jackson St, Louisville, Kentucky |
| Authorized Official Name and Position | James O'brien (DEPARTMENT CHAIRMAN) |
| Authorized Official Contact | 5028528498 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Family Practice Assoc. Psc 501 E Broadway Ste 290 Louisville KY 40202-1785 Ph: (502) 217-5134 | University Family Practice Assoc. Psc 530 S Jackson St Louisville KY 40202 Ph: (502) 562-6503 |
| NPI Number | 1043267503 |
|---|---|
| Provider Enumeration Date | 05/30/2006 |
| Last Update Date | 04/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043267503 | NPI | - | NPPES |
| 65905960 | Medicaid | KY |
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