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Contact Information

UNIVERSITY PEDIATRIC PULMONARY, LLC
9700 PARK PLAZA AVE
STE 110
LOUISVILLE, KY40241-2286
 Phone: 502-629-8830
 Fax: 502-629-7540
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Pulmonology

2080P0214X 37 Physician/Pediatric Medicine
 

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for UNIVERSITY PEDIATRIC PULMONARY LLC · (Female)

NPI Number 1649577362
Status Active
Credentials
Entity Individual
Enumeration date 02/15/2011
Last updated 02/15/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • IN Medicaid 200998250
  • KY Medicaid 7100115770
  • KY Medicaid 710018920
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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