CLEANSLATE MEDICAL GROUP OF KENTUCKY PLLC NPI 1538600630

NPI Information

CLEANSLATE MEDICAL GROUP OF KENTUCKY PLLC is an addiction medicine internal medicine in Louisville, KY. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. CLEANSLATE MEDICAL GROUP OF KENTUCKY PLLC NPI is 1538600630. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

210 E GRAY ST STE 803
LOUISVILLE, KY
ZIP 40202-904
Phone: (502) 238-9462

The provider's authorized official is Robert Hutchison .
The authorized official title is Cfo and has the following contact phone number (615) 425-0220.

The enumeration date for this NPI number is 3/9/2017 and was last updated on 3/23/2023.

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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