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LOUISVILLE & SO INDIANA PULMONARY CARE PLC NPI 1083851257


NPI Information

NPI: 1083851257
Provider Name: LOUISVILLE & SO INDIANA PULMONARY CARE PLC
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
4402 CHURCHMAN AVE
SUITE 409
LOUISVILLE, KY
ZIP 40215
Phone: (502) 368-9590
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LOUISVILLE & SO INDIANA PULMONARY CARE PLC is a pulmonary disease internal medicine in Louisville, KY. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. LOUISVILLE & SO INDIANA PULMONARY CARE PLC NPI is 1083851257. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4402 CHURCHMAN AVE
SUITE 409
LOUISVILLE, KY
ZIP 40215-190
Phone: (502) 368-9590
Fax: (502) 368-9616

The provider's authorized official is Timothy Killeen .
The authorized official title is Manager and has the following contact phone number (502) 368-9590.

The enumeration date for this NPI number is 1/9/2009 and was last updated on 11/10/2017.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RP1001XInternal MedicinePulmonary DiseaseYes
2363LF0000XNurse PractitionerFamilyNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17100144810MEDICAIDKENTUCKY
2000000701204OTHERKENTUCKYANTHEM
3200926940AMEDICAIDINDIANA
4P100024019MEDICARE PINKENTUCKY
5DR3113OTHERRAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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