Individual
JAMES GERARD O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
215 CENTRAL AVE, 110, LOUISVILLE, KY 40208-1449
(502) 852-5205
(502) 852-5405
Mailing address
501 E BROADWAY, SUITE 290, LOUISVILLE, KY 40202-1785
(502) 217-8221
(502) 217-5056
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
32582
KY
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
32582
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200113250
—
IN
05
—
64325822
—
KY
Enumeration date
05/15/2006
Last updated
03/31/2011
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