Individual
JAMES L SUBLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9800 SHELBYVILLE RD, SUITE #220, LOUISVILLE, KY 40223-2992
(502) 429-8585
(502) 429-6157
Mailing address
9800 SHELBYVILLE RD, SUITE #220, LOUISVILLE, KY 40223-2992
(502) 429-8585
(502) 753-0889
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
18715
KY
207K00000X
Allergy & Immunology Physician
01027931A
IN
207K00000X
Allergy & Immunology Physician
Primary
18715
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100354390
—
IN
01
—
1049059
PASSPORT PROVIDER NUMBER
KY
05
—
64187156
—
KY
Enumeration date
09/12/2005
Last updated
05/26/2021
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