LONGEVITY CLINICAL LTC ASSOCIATES OF KENTUCKY PLLC NPI 1932935798

NPI Information

  • NPI: 1932935798
  • Provider Name: LONGEVITY CLINICAL LTC ASSOCIATES OF KENTUCKY, PLLC
  • Classification: Family Medicine - 207QG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Organization
  • Address: 2100 CHEROKEE RIDGE WAY STE 100
    LOUISVILLE, KY
    ZIP 40205
  • Phone: (502) 667-8150

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NPI Details

LONGEVITY CLINICAL LTC ASSOCIATES OF KENTUCKY, PLLC is a geriatric medicine family medicine in Louisville, KY. The provider is a family medicine physician with 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. LONGEVITY CLINICAL LTC ASSOCIATES OF KENTUCKY, PLLC NPI is 1932935798. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2100 CHEROKEE RIDGE WAY STE 100
LOUISVILLE, KY
ZIP 40205-600
Phone: (502) 667-8150

The provider's authorized official is Diane Vincur .
The authorized official title is Manager and has the following contact phone number (561) 815-2427.

The enumeration date for this NPI number is 9/10/2024 and was last updated on 9/10/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2207QG0300XFamily MedicineGeriatric MedicineYes
3363LG0600XNurse PractitionerGerontologyNo
4363LP2300XNurse PractitionerPrimary CareNo

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: 11/21/2025

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