# ATHENA HEALTH CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ATHENA HEALTH CORP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316767874
- **Authorized official:** ALEXIS URQUIZA (PR)
- **Authorized official phone:** (305) 484-3984

## Contact information

- **Practice address:** 1930 BISHOP LN STE 130A, LOUISVILLE, KY 40218-1921
- **Practice address phone:** (305) 484-3984
- **Mailing address:** 1930 BISHOP LN STE 130A, LOUISVILLE, KY 40218-1921
- **Mailing address phone:** (305) 484-3984

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 10/10/2024
- **Last updated:** 10/10/2024