# CARENA PHYSICIANS KENTUCKY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CARENA, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1922277169
- **Legal business name:** CARENA, INC.
- **Authorized official:** DR. LYLE G. BOHLMAN M.D. (REGIONAL MEDICAL DIRECTOR)
- **Authorized official phone:** (502) 614-6229

## Contact information

- **Practice address:** 12700 SHELBYVILLE RD, THE DANVILLE BUILDING, LOUISVILLE, KY 40243-1576
- **Practice address phone:** (502) 614-6229
- **Mailing address:** 12700 SHELBYVILLE RD, THE DANVILLE BUILDING, LOUISVILLE, KY 40243-1576
- **Mailing address phone:** (502) 614-6229

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/21/2008
- **Last updated:** 02/25/2008