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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 M.D. (CHAIRMAN)
(502) 852-8600
Entity
Organization
Contact information
Practice address
1015 DORSEY LN, LOUISVILLE, KY 40223-2612
(502) 852-8500
(502) 852-8556
Mailing address
PO BOX 2469, LOUISVILLE, KY 40201-2469
(502) 852-8500
(502) 852-8556
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65908238
—
KY
Enumeration date
04/08/2008
Last updated
06/17/2008
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