Organization
PHYSICIANS HEALTH GROUP OF KENTUCKY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN RUSH MD (AUTHORIZED OFFICIAL)
(301) 928-1697
Entity
Organization
Contact information
Practice address
950 BRECKENRIDGE LN STE 20, LOUISVILLE, KY 40207-5931
(859) 687-9456
Mailing address
950 BRECKENRIDGE LN STE 20, LOUISVILLE, KY 40207-5931
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/28/2017
Last updated
02/06/2020
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