# BLANKENBAKER PRIMARY CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215063672
- **Authorized official:** DR. SVEN T JONSSON M.D. (PHYSICIAN)
- **Authorized official phone:** (502) 297-8555

## Contact information

- **Practice address:** 1937 BLANKENBAKER PKWY, LOUISVILLE, KY 40299-2403
- **Practice address phone:** (502) 297-8555
- **Practice address fax:** (502) 297-8551
- **Mailing address:** 1937 BLANKENBAKER PKWY, LOUISVILLE, KY 40299-2403
- **Mailing address phone:** (502) 297-8555
- **Mailing address fax:** (502) 297-8551

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | KY31452 | KY | Yes |

## Other

- **Enumeration date:** 02/27/2007
- **Last updated:** 08/22/2020
