Organization
KENTUCKY PAIN ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON LEWIS M.D. (OWNER/MEDICAL DIRECTOR)
(502) 855-3919
Entity
Organization
Contact information
Practice address
222 SOUTH 1ST STREET, SUITE 300, LOUISVILLE, KY 40202
(502) 855-3919
(502) 855-3918
Mailing address
222 SOUTH 1ST STREET, SUITE 300, LOUISVILLE, KY 40202
(502) 855-3919
(502) 855-3918
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
42621
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016015
—
VT
Enumeration date
08/29/2012
Last updated
08/29/2012
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