Interventional Rehabilitation Of Kentucky

NPI 1275549842 - Pain Medicine - 208VP0000X

NPI Details
NPI 1275549842
Enumeration Date 08/01/2006
Last Updated 07/28/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name RICKY STANLEY RICKY
Position OWNER
Phone (502) 589-4765
Fax (502) 589-4799
Practice Location
315 E BROADWAY
SUITE 250
LOUISVILLE KY, 40202-3700, US
Phone (502) 589-4765
Fax (502) 589-4799
Business Location
315 E BROADWAY
SUITE 250
LOUISVILLE KY, 40202-3700, US
Phone (502) 589-4765
Fax (502) 589-4799
Toxanomy
Taxonomy Code 208VP0000X
License State
License Number
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According to our database, Interventional Rehabilitation Of Kentucky NPI is 1275549842, taxonomy code is 208VP0000X Interventional Rehabilitation Of Kentucky physically located at 315 E Broadway, Louisville KY, 40202-3700. NPI Number 1033115704 has the healthcare provider type.

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1275549842 NPI number is provided on an as is basis without warranty of any kind. 1275549842 is maintained by the National Plan & Provider Enumeration System. The contents of Interventional Rehabilitation Of Kentucky are for informational purposes only.