# BAPTIST HEALTH MEDICAL GROUP INC

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

## Provider details

- **NPI number:** 1740586213
- **Authorized official:** KATHERINE SMITH (DIRECTOR)
- **Authorized official phone:** (502) 238-2801

## Contact information

- **Practice address:** 10216 TAYLORSVILLE RD, SUITE 400, LOUISVILLE, KY 40299-3616
- **Practice address phone:** (502) 267-5456
- **Practice address fax:** (502) 267-5488
- **Mailing address:** 2700 STANLEY GAULT PKWY, SUITE 129, LOUISVILLE, KY 40223-5132
- **Mailing address phone:** (502) 238-2801
- **Mailing address fax:** (502) 238-2835

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | KY | Yes |
| 363A00000X | Physician Assistant | — | KY | — |
| 363L00000X | Nurse Practitioner | — | KY | — |

## Other

- **Enumeration date:** 02/01/2011
- **Last updated:** 08/05/2015