# ALLIED UROLOGY, P.S.C.

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

## Provider details

- **NPI number:** 1619035409
- **Authorized official:** DR. FREDERICK H WITTEN M.D. (PHYSICIAN)
- **Authorized official phone:** (502) 897-5147

## Contact information

- **Practice address:** 912 DUPONT RD, LOUISVILLE, KY 40207-4602
- **Practice address phone:** (502) 897-5147
- **Practice address fax:** (502) 895-3783
- **Mailing address:** 912 DUPONT ROAD, LOUISVILLE, KY 40207-4602
- **Mailing address phone:** (502) 897-5147
- **Mailing address fax:** (502) 895-3783

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | KY | Yes |

## Other

- **Enumeration date:** 12/05/2006
- **Last updated:** 03/15/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 200821820A | MEDICAID IN | IN |
| 05 | — | 65945222 | — | KY |
| 01 | — | DE6177 | RAILROAD MEDICARE | KY |