Organization
UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION
Active
Parent organization
UNIVERSITY OF LOUISVILLE
Other names
URLF Neurology
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF LOUISVILLE
Authorized official
DAVID DUNN MD (EVP OF HEALTH AFFAIRS)
(502) 852-5184
Entity
Organization
Contact information
Practice address
401 E CHESTNUT ST, SUITE 510, LOUISVILLE, KY 40202-5700
(502) 589-0802
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0320
(502) 588-0326
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
—
—
2084N0600X
Clinical Neurophysiology Physician
—
—
2084V0102X
Vascular Neurology Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65906380
—
KY
Enumeration date
12/11/2013
Last updated
01/16/2014
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