Organization
NEUROSCIENCE ASSOCIATES, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL H BIBB (ADMINISTRATOR)
(502) 895-7265
Entity
Organization
Contact information
Practice address
3 AUDUBON PLAZA DR, SUITE 110, LOUISVILLE, KY 40217-1319
(502) 634-3433
(502) 634-3494
Mailing address
3900 KRESGE WAY, SUITE 56, LOUISVILLE, KY 40207-4660
(502) 895-7265
(502) 897-2113
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1049098
—
KY
01
—
5929
ANTHEM
KY
05
—
65904971
—
KY
01
—
CN0117
MEDICARE ID
—
Enumeration date
12/04/2006
Last updated
04/20/2008
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