# KENTUCKIANA ALLERGY PSC

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

## Provider details

- **NPI number:** 1790891125
- **Authorized official:** DR. DANIEL A. GARCIA II MD (PRESIDENT/MD)
- **Authorized official phone:** (502) 426-1621

## Contact information

- **Practice address:** 9113 LEESGATE RD, LOUISVILLE, KY 40222-5003
- **Practice address phone:** (502) 426-1621
- **Practice address fax:** (502) 426-7906
- **Mailing address:** 9113 LEESGATE RD, LOUISVILLE, KY 40222-5003
- **Mailing address phone:** (502) 426-1621
- **Mailing address fax:** (502) 426-7906

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | — | NULL | Yes |
| 207K00000X | Allergy & Immunology Physician | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 08/21/2006
- **Last updated:** 06/19/2014