# LOUISVILLE UROLOGY

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

## Provider details

- **NPI number:** 1619063641
- **Authorized official:** ERIC R UHLENHUTH MD (SENIOR PARTNER)
- **Authorized official phone:** (502) 375-0009

## Contact information

- **Practice address:** 1900 BLUEGRASS AVE, SUITE 203, LOUISVILLE, KY 40215
- **Practice address phone:** (502) 375-0009
- **Practice address fax:** (502) 375-2150
- **Mailing address:** 1900 BLUEGRASS AVE, SUITE 203, LOUISVILLE, KY 40215
- **Mailing address phone:** (502) 375-0009
- **Mailing address fax:** (502) 375-2150

## Taxonomy

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

## Other

- **Enumeration date:** 10/05/2006
- **Last updated:** 03/19/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1106100 | PASSPORT | KY |
| 01 | — | 340019489 | RAILROAD MEDI CARE | — |
| 05 | — | 65909285 | — | KY |
