Organization
ADRIAN J PELLEGRINI MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIAN J PELLEGRINI (MD)
(502) 899-9980
Entity
Organization
Contact information
Practice address
170 CRESCENT AVE, LOUISVILLE, KY 40206
(502) 899-9980
Mailing address
170 CRESCENT AVE, LOUISVILLE, KY 40206-1577
(502) 899-9980
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
09/07/2010
Last updated
12/03/2018
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