# COMMONWEALTH FAMILY CARE PLLC

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

## Provider details

- **NPI number:** 1386001196
- **Authorized official:** LAURA KELLY WHITE APRN (PRESIDENT)
- **Authorized official phone:** (502) 403-0007

## Contact information

- **Practice address:** 7410 NEW LA GRANGE RD, SUITE 125, LOUISVILLE, KY 40222-4871
- **Practice address phone:** (502) 742-0460
- **Practice address fax:** (502) 742-9340
- **Mailing address:** 7410 NEW LA GRANGE RD, SUITE 125, LOUISVILLE, KY 40222-4871
- **Mailing address phone:** (502) 742-0460
- **Mailing address fax:** (502) 742-9340

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 3002841 | KY | Yes |
| 363LF0000X | Family Nurse Practitioner | 3006986 | KY | — |

## Other

- **Enumeration date:** 01/25/2016
- **Last updated:** 12/15/2016