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Organization
UNIVERSITY CHILDREN'S SLEEP MEDICINE SPECIALISTS, LLC
Active
Organization
UNIVERSITY CHILDREN'S SLEEP MEDICINE SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERARD P RABALAIS M.D. (PRESIDENT)
(502) 852-8560
Entity
Organization
Contact information
Practice address
4121 DUTCHMANS LN, STE 612, LOUISVILLE, KY 40207-4707
(502) 588-2220
(502) 588-2221
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0330
(502) 588-0326
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
207QS1201X
Sleep Medicine (Family Medicine) Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
208000000X
Pediatrics Physician
—
—
2080P0214X
Pediatric Pulmonology Physician
—
—
2080S0012X
Pediatric Sleep Medicine Physician
Primary
—
—
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200897060
—
IN
05
—
7100026930
—
KY
Enumeration date
02/27/2007
Last updated
06/19/2013
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