# JOHN P OLIPHANT MD PLLC

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

## Provider details

- **NPI number:** 1891879219
- **Authorized official:** JOHN P OLIPHANT MD (SOLE MEMBER OWNER)
- **Authorized official phone:** (502) 493-9994

## Contact information

- **Practice address:** 3427 STONY SPRING CIR, LOUISVILLE, KY 40220-5437
- **Practice address phone:** (502) 493-9994
- **Practice address fax:** (502) 493-9991
- **Mailing address:** 3427 STONY SPRING CIR, LOUISVILLE, KY 40220-5437
- **Mailing address phone:** (502) 493-9994
- **Mailing address fax:** (502) 493-9991

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | 30518 | KY | Yes |

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 02/24/2009