Individual
DR. JUDAH L SKOLNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 W MARKET ST, SUITE 2, LOUISVILLE, KY 40202-1332
(502) 587-8000
(502) 583-8001
Mailing address
100 W MARKET ST, SUITE 2, LOUISVILLE, KY 40202-1332
(502) 587-8000
(502) 583-8001
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
01033955A
IN
207RP1001X
Pulmonary Disease Physician
Primary
14201
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000052082
ANTHEM
KY
05
—
64142011
—
KY
Enumeration date
07/06/2006
Last updated
12/21/2007
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