# LOUISVILLE GENERAL SURGERY PLLC

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

## Provider details

- **NPI number:** 1386606416
- **Authorized official:** MARTHA GILBERT (OFFICE MANAGER)
- **Authorized official phone:** (502) 899-6470

## Contact information

- **Practice address:** 4121 DUTCHMANS LN, STE 607, LOUISVILLE, KY 40207-4707
- **Practice address phone:** (502) 899-6470
- **Practice address fax:** (502) 899-6479
- **Mailing address:** 4121 DUTCHMANS LN, STE 607, LOUISVILLE, KY 40207-4707
- **Mailing address phone:** (502) 899-6470
- **Mailing address fax:** (502) 899-6479

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | Yes |
| 174400000X | Specialist | — | — | Yes |

## Other

- **Enumeration date:** 04/04/2006
- **Last updated:** 03/10/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 65928053 | — | KY |