# CALOBRACE PLASTIC SURGERY CENTER

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

## Provider details

- **NPI number:** 1730299033
- **Authorized official:** DR. MICHAEL BRADLEY CALOBRACE M.D. (OWNER)
- **Authorized official phone:** (502) 899-9979

## Contact information

- **Practice address:** 2341 LIME KILN LANE, LOUISVILLE, KY 40222
- **Practice address phone:** (502) 899-9979
- **Practice address fax:** (502) 899-9939
- **Mailing address:** 2341 LIME KILN LANE, LOUISVILLE, KY 40222
- **Mailing address phone:** (502) 899-9979
- **Mailing address fax:** (502) 899-9939

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 32666 | KY | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 03/12/2014