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UNIVERSITY PEDIATRICS FOUNDATION, INC.

Allergy

Louisville, Kentucky

Provider NPI: 1255598173

Organization Information:
Organization Name:  UNIVERSITY PEDIATRICS FOUNDATION, INC.


Practice Location:
210 E GRAY ST SUITE 1000 LOUISVILLE, KY 40202 US
Tel: 502-629-3320  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N2080P0201XPhysicians
Pediatrics
Pediatric Allergy & Immunology
N207KA0200XPhysicians
Allergy & Immunology
Y207K00000XPhysicians
Allergy & Immunology

Other Provider Identifiers:

IssuerNumberStateType
65908238KY05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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