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Organization
UNIVERSITY PEDIATRICS FOUNDATION, INC.
Active
Organization
UNIVERSITY PEDIATRICS FOUNDATION, INC.
Active
Other names
University Child Health Specialists, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERARD P. RABALAIS MD (CHAIRMAN)
(502) 852-8600
Entity
Organization
Contact information
Practice address
9800 SHELBYVILLE RD, LOUISVILLE, KY 40223-2977
(502) 629-3320
(502) 629-3975
Mailing address
PO BOX 2469, LOUISVILLE, KY 40201-2469
(502) 852-8500
(502) 852-8556
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
NULL
207K00000X
Allergy & Immunology Physician
Primary
—
—
207KA0200X
Allergy Physician
—
NULL
207KA0200X
Allergy Physician
—
—
2080P0201X
Pediatric Allergy/Immunology Physician
—
NULL
2080P0201X
Pediatric Allergy/Immunology Physician
—
—
Other
Enumeration date
04/28/2010
Last updated
04/28/2010
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