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Organization
COMMUNITY MEDICAL ASSOCIATES, INC.
Active
Organization
COMMUNITY MEDICAL ASSOCIATES, INC.
Active
Other names
Kosair Childrens Hospital Infectious Disease Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY GAST (VP MANAGED CARE)
(502) 588-9490
Entity
Organization
Contact information
Practice address
4803 OLYMPIA PARK PLZ STE 1100, LOUISVILLE, KY 40241-3068
(502) 588-9490
(502) 272-5116
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103TC0700X
Clinical Psychologist
—
—
2080P0208X
Pediatric Infectious Diseases Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
01/07/2016
Last updated
04/03/2023
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