Organization
UNIVERSITY PEDIATRICS FOUNDATION, INC.
Active
Organization
UNIVERSITY PEDIATRICS FOUNDATION, INC.
Active
Other names
University Child Health Specialists, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERARD P. RABALAIS MD (CHAIRMAN)
(502) 852-8600
Entity
Organization
Contact information
Practice address
9700 PARK PLAZA AVE, STE 110, LOUISVILLE, KY 40241-2236
(502) 852-3720
(502) 708-8238
Mailing address
PO BOX 2469, LOUISVILLE, KY 40201-2469
(502) 852-8500
(502) 852-8556
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
—
—
Other
Enumeration date
08/17/2010
Last updated
08/17/2010
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