Louisville Patient Centered Medical Home, Psc

NPI 1265604763 - Clinic/Center - 261QP2300X

NPI Details
NPI 1265604763
Enumeration Date 03/25/2008
Last Updated 12/27/2013
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name JAMES D. JAMES
Position PRESIDENT/CEO
Phone (502) 896-8041
Fax (502) 896-8044
Practice Location
4010 DUPONT CIR
SUITE 308
LOUISVILLE KY, 40207-4812, US
Phone (502) 896-8041
Fax (502) 896-8044
Business Location
4010 DUPONT CIR
SUITE 308
LOUISVILLE KY, 40207-4812, US
Phone (502) 896-8041
Fax (502) 896-8044
Toxanomy
Taxonomy Code 261QP2300X
License State Kentucky
License Number 18988
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According to our database, Louisville Patient Centered Medical Home, Psc NPI is 1265604763, taxonomy code is 261QP2300X and license number is 18988, license state is located at Kentucky. Louisville Patient Centered Medical Home, Psc physically located at 4010 Dupont Cir, Louisville KY, 40207-4812. NPI Number 1033115704 has the healthcare provider type.

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1265604763 NPI number is provided on an as is basis without warranty of any kind. 1265604763 is maintained by the National Plan & Provider Enumeration System. The contents of Louisville Patient Centered Medical Home, Psc are for informational purposes only.