University Of Louisville
Pediatric Adolescent Medicine
University Of Louisville is a Louisville, Kentucky based Pediatric center with medical specialization in
Pediatric Adolescent Medicine. University Of Louisville is doing business as
Children And Youth Project-adolescent Clinic.
It is located at
555 S Floyd St, Louisville, Kentucky - 40202-3822. They can be contacted on phone at
502-852-5588 and fax number 502-852-5630.
NPI number (Unique professional ID) for University Of Louisville is
1528209350 which was assigned by NPPES on 06 Mar, 2009 and it was last updated on 09 Jul, 2012.
University Of Louisville license number is
29710 for Pediatrics Adolescent Medicine (2080A0000X) in Kentucky.
University Of Louisville specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
University Of Louisville basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | University Of Louisville |
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| Other Name : | Children And Youth Project-adolescent Clinic |
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Business Address:
University Of Louisville address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 555 S Floyd St
Louisville, KY, 40202-3822
United States |
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| Phone Number : | 502-852-5588 |
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| Fax Number : | 502-852-5630 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1528209350 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 06 Mar, 2009 |
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| Last Updated On : | 09 Jul, 2012 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Gerard Rabalais |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | CHAIRMAN |
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| Phone Number : | 502-852-8600 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for University Of Louisville are as mentioned. Primary taxonomy code for University Of Louisville is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 29710 | KY |
Legacy Identifiers:
Other legacy medical identifiers of University Of Louisville such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 64067259 | MEDICAID | KY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 2469
Louisville, KY, 40201-2469
United States |
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| Phone Number : | 502-852-8500 |
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| Fax Number : | 502-852-8556 |
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Business Location:
Patients can refer following map for directions to
University Of Louisville practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.