CARDIAC CARE CENTER OF LOUISVILLE PLLC CRESTWOOD, KY

Contact Information

CARDIAC CARE CENTER OF LOUISVILLE, PLLC

1023 NEW MOODY LN
SUITE 101
CRESTWOOD, KY 40031-9177

Phone: 502-222-4557
Fax: 502-222-5821
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Cardiovascular Disease	207RC0000X	11	Physician/Internal Medicine
Acute Care	363LA2100X	50	Nurse Practitioner
Clinical Cardiac Electrophysiology	207RC0001X	11	Physician/Internal Medicine
Family	363LF0000X	50	Nurse Practitioner
Interventional Cardiology	207RI0011X	11	Physician/Internal Medicine
Medical	363AM0700X	97	Physician Assistant
Nuclear Cardiology	207UN0901X	36	Physician/Nuclear Medicine

Indicates primary specialty

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NPI Profile & details for CARDIAC CARE CENTER OF LOUISVILLE PLLC · (Female)

NPI #	`1154531515`
Status	Active
Credentials
Entity	Individual
Enumeration date	05/23/2007
Last updated	09/26/2007 - About 19 years ago
Sole proprietor ¹	Not specified
Identifiers	KY Medicaid 65901324 KY Medicaid 78902657 KY Medicaid 95900494
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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CARDIAC CARE CENTER OF LOUISVILLE PLLCCardiovascular Disease

Contact Information

Specialty

Cardiovascular Disease

Acute Care

Clinical Cardiac Electrophysiology

Family

Interventional Cardiology

Medical

Nuclear Cardiology

NPI Profile & details for CARDIAC CARE CENTER OF LOUISVILLE PLLC · (Female)

Reviews for CARDIAC CARE CENTER OF LOUISVILLE, PLLC

CARDIAC CARE CENTER OF LOUISVILLE PLLC
Cardiovascular Disease