# UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UofL Family Medicine at Cardinal Station
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700842036
- **Authorized official:** JAMES OBRIEN MD (CHARIMAN OF DEPARTMENT)
- **Authorized official phone:** (502) 852-5498

## Contact information

- **Practice address:** 215 CENTRAL AVE, 100, LOUISVILLE, KY 40208-1449
- **Practice address phone:** (502) 852-2822
- **Practice address fax:** (502) 852-2819
- **Mailing address:** 501 E BROADWAY, SUITE 290, LOUISVILLE, KY 40202-1785
- **Mailing address phone:** (502) 217-8221
- **Mailing address fax:** (502) 217-5056

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 04/25/2006
- **Last updated:** 10/31/2011