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Organization

U OF L RESEARCH FOUNDATION

Active
Other names
UL Fam Med / Nursing Homes
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES O'BRIEN M.D. (DEPARTMENT CHAIR)
(502) 562-6783
Entity
Organization

Contact information

Practice address
501 E BROADWAY, STE 120, LOUISVILLE, KY 40202-1785
(502) 562-6783
(502) 562-6777
Mailing address
501 E BROADWAY, STE 120, LOUISVILLE, KY 40202-1785
(502) 562-6783
(502) 562-6777

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207QG0300X
Geriatric Medicine (Family Medicine) Physician
363LF0000X
Family Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
31000102
KY
Enumeration date
01/31/2007
Last updated
02/26/2008
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