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Organization
UNIVERSITY PEDIATRIC RHEUMATOLOGY OF KENTUCKY LLC
Active
Organization
UNIVERSITY PEDIATRIC RHEUMATOLOGY OF KENTUCKY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERARD P. RABALAIS MD (CHAIRMAN)
(502) 852-8600
Entity
Organization
Contact information
Practice address
210 E GRAY ST, SUITE 1000, LOUISVILLE, KY 40202-3906
(502) 629-7702
(502) 629-3975
Mailing address
PO BOX 2469, LOUISVILLE, KY 40201-2469
(502) 852-8500
(502) 852-8556
Taxonomy
Speciality
Code
Description
License number
State
2080P0216X
Pediatric Rheumatology Physician
Primary
—
NULL
2080P0216X
Pediatric Rheumatology Physician
Primary
—
—
Other
Enumeration date
08/14/2007
Last updated
07/23/2008
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