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Organization
U OF L RESEARCH FOUNDATION
Active
Organization
U OF L RESEARCH FOUNDATION
Active
Other names
UL Fam Med / Nursing Homes
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES O'BRIEN M.D. (DEPARTMENT CHAIR)
(502) 562-6783
Entity
Organization
Contact information
Practice address
501 E BROADWAY, STE 120, LOUISVILLE, KY 40202-1785
(502) 562-6783
(502) 562-6777
Mailing address
501 E BROADWAY, STE 120, LOUISVILLE, KY 40202-1785
(502) 562-6783
(502) 562-6777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
NULL
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
01/31/2007
Last updated
02/26/2008
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