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Organization
PRESTON URGENT CARE, INC
Active
Organization
PRESTON URGENT CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MISHA HAQ (MD)
(502) 969-2227
Entity
Organization
Contact information
Practice address
4822 PRESTON HWY, LOUISVILLE, KY 40213-2226
(502) 969-2227
(502) 587-0390
Mailing address
4822 PRESTON HWY, LOUISVILLE, KY 40213-2226
(502) 969-2227
(502) 587-0390
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
33462
KY
208000000X
Pediatrics Physician
32576
KY
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32576
MEDICAL LICENSE #
KY
01
—
33462
MEDICAL LICENSE #
KY
Enumeration date
03/21/2017
Last updated
11/21/2019
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