INTERLOCKING HEARTS HEALTHCARE - PRIMARY AND EXPRESS CARE NPI 1497218507

NPI Information

INTERLOCKING HEARTS HEALTHCARE - PRIMARY AND EXPRESS CARE is a primary care nurse practitioner in Louisville, KY. INTERLOCKING HEARTS HEALTHCARE - PRIMARY AND EXPRESS CARE NPI is 1497218507. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

801 W BROADWAY STE 4
LOUISVILLE, KY
ZIP 40202-236
Phone: (502) 963-5803
Fax: (502) 709-4094

The provider's authorized official is Omega Savage .
The authorized official title is Owner and has the following contact phone number (502) 821-0652.

The CLIA number assigned to this NPI record is 18D2154086 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/8/2019 and was last updated on 4/23/2019.

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:

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