# UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UofL Family Medicine @ ACB
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679539258
- **Authorized official:** DR. JAMES G. O'BRIEN MD (DEPARTMENT CHAIRMAN)
- **Authorized official phone:** (502) 852-8498

## Contact information

- **Practice address:** 550 S JACKSON ST, 1ST FLOOR, LOUISVILLE, KY 40202-1622
- **Practice address phone:** (502) 562-6503
- **Practice address fax:** (502) 562-6504
- **Mailing address:** 501 E BROADWAY, STE 290, LOUISVILLE, KY 40202-1785
- **Mailing address phone:** (502) 217-5134
- **Mailing address fax:** (502) 217-5056

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 04/24/2006
- **Last updated:** 07/07/2010