DMMD CONCIERGE LLC NPI 1114562014

NPI Information

DMMD CONCIERGE LLC is a family medicine in Louisville, KY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DMMD CONCIERGE LLC NPI is 1114562014. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

947 EASTERN PKWY
LOUISVILLE, KY
ZIP 40217-573
Phone: (502) 361-8801
Fax: (502) 361-8821

The provider's authorized official is Doug Mattingly .
The authorized official title is Owner and has the following contact phone number (502) 361-8801.

The CLIA number assigned to this NPI record is 18D2175042 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/14/2019 and was last updated on 1/30/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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