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Contact Information

ADVANCED PAIN MANAGEMENT CENTER, PSC
1170 E. BROADWAY
SUITE 300
LOUISVILLE, KY40204-1761
 Phone: 502-589-0900
 Fax: 502-589-9075
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for ADVANCED PAIN MANAGEMENT CENTER PSC · (Female)

NPI Number 1588615777
Status Active
Credentials
Entity Individual
Enumeration date 05/13/2006
Last updated 03/07/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • KY License # 37035
  • IN Medicaid 200886370A
  • KY Medicaid 7100039170
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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