Unknown Individual – General Practice Physician, NPI 1063417400
General Practice Physician
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
2232 HOLIDAY MANOR CTR
LOUISVILLE, KY 402226431
Phone: (502) 339-6565
Fax: (502) 339-0096
Type: Location
Box Car Way, Louisville, Jefferson County, Kentucky, 40272, United States
LOUISVILLE, KY 402950248
Phone: (502) 253-4900
Fax: (502) 489-5750
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 40222)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KY | |
| - | KY | |
| - | KY | |
| General Practice | KY | |
| P S Y C H I A T R Y | KY | |
| Thoracic Surgery, Cardiac Surgery | KY | |
| N E U R O S U R G E R Y | KY | |
| Physician Assistant | KY | |
| Emergency Medicine, General Practice | KY | |
| Hematology/Oncology, Internal Medicine | KY |
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