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KENTUCKIANNA INFECTIOUS DISEASES CONSULTANTS PSC NPI 1811908189


NPI Information

NPI: 1811908189
Provider Name: KENTUCKIANNA INFECTIOUS DISEASES CONSULTANTS PSC
Classification: Internal Medicine - 207RI0200X
Entity Type: Organization

Specialization: Infectious Disease

Address:
125 FAIRFAX AVE
LOUISVILLE, KY
ZIP 40207
Phone: (502) 895-6155
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KENTUCKIANNA INFECTIOUS DISEASES CONSULTANTS PSC is an infectious disease internal medicine in Louisville, KY. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. KENTUCKIANNA INFECTIOUS DISEASES CONSULTANTS PSC NPI is 1811908189. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

125 FAIRFAX AVE
LOUISVILLE, KY
ZIP 40207-905
Phone: (502) 895-6155
Fax: (502) 895-6156

The provider's authorized official is Barbara T Wojda .
The authorized official title is Owner and has the following contact phone number (502) 895-6155.

The enumeration date for this NPI number is 8/11/2006 and was last updated on 3/13/2015.


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
1207RI0200XInternal MedicineInfectious Disease29673KENTUCKYYes

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
11054531OTHERKENTUCKYPASSPORT
264296734MEDICAIDKENTUCKY
30722402MEDICARE ID-TYPE UNSPECIFIEDKENTUCKY
4000000228821OTHERKENTUCKYBLUE CROSS/ ANTHEM
5G33547MEDICARE UPINKENTUCKY
6200209850AMEDICAIDINDIANA

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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