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KENTUCKY GERIATRICS PSC NPI 1689674186


NPI Information

NPI: 1689674186
Provider Name: KENTUCKY GERIATRICS PSC
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
1705 HERR LN
LOUISVILLE, KY
ZIP 40222
Phone: (502) 544-6442
Get Directions

KENTUCKY GERIATRICS PSC is a geriatric medicine internal medicine in Louisville, KY. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. KENTUCKY GERIATRICS PSC NPI is 1689674186. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1705 HERR LN
LOUISVILLE, KY
ZIP 40222-545
Phone: (502) 544-6442
Fax: (502) 426-5493

The provider's authorized official is Beyla Zuberi .
The authorized official title is Owner and has the following contact phone number (502) 544-6442.

The enumeration date for this NPI number is 7/26/2005 and was last updated on 6/20/2011.


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
1207R00000XInternal MedicineNo
2363LA2200XNurse PractitionerAdult HealthNo
3208M00000XHospitalistNo
4207RG0300XInternal MedicineGeriatric MedicineYes

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
1DD4794OTHERKENTUCKYRAILROAD MEDICARE
29660MEDICARE PINKENTUCKY
365943813MEDICAIDKENTUCKY

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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