# UNIVERSITY PEDIATRICS FOUNDATION, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** University Child Health Specialists, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518235704
- **Authorized official:** DR. GERARD P RABALAIS MD (CHAIRMAN)
- **Authorized official phone:** (502) 852-8600

## Contact information

- **Practice address:** 210 E GRAY ST, STE. 802, LOUISVILLE, KY 40202-3900
- **Practice address phone:** (502) 852-6633
- **Practice address fax:** (502) 852-7743
- **Mailing address:** PO BOX 2469, LOUISVILLE, KY 40201-2469
- **Mailing address phone:** (502) 852-8500
- **Mailing address fax:** (502) 852-8556

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | NULL | Yes |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/02/2011
- **Last updated:** 12/02/2011