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BLUEGRASS ALLERGY ASTHMA AND IMMUNOLOGY PSC NPI 1669984209


NPI Information

NPI: 1669984209
Provider Name: BLUEGRASS ALLERGY ASTHMA AND IMMUNOLOGY PSC
Classification: Internal Medicine - 207RA0201X
Entity Type: Organization

Specialization: Allergy & Immunology

Address:
11900 PLANTSIDE DR STE 9
LOUISVILLE, KY
ZIP 40299
Phone: (502) 267-0556
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BLUEGRASS ALLERGY ASTHMA AND IMMUNOLOGY PSC is an allergy and immunology internal medicine in Louisville, KY. The provider is an internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. BLUEGRASS ALLERGY ASTHMA AND IMMUNOLOGY PSC NPI is 1669984209. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11900 PLANTSIDE DR STE 9
LOUISVILLE, KY
ZIP 40299
Phone: (502) 267-0556
Fax: (502) 267-1715

The provider's authorized official is Frank Tolis Simon .
The authorized official title is Md/owner and has the following contact phone number (502) 386-4710.

The enumeration date for this NPI number is 11/3/2017 and was last updated on 7/10/2018.


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
1207RA0201XInternal MedicineAllergy & Immunology34409KENTUCKYYes

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: 4/28/2024

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