Individual
DR. CLARA ANN PALLARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3101 BRECKINRIDGE LN, #4E, LOUISVILLE, KY 40220-2742
(502) 454-5252
(502) 454-5353
Mailing address
3101 BRECKINRIDGE LN, #4E, LOUISVILLE, KY 40220-2742
(502) 454-5252
(502) 454-5353
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30532
KY
208000000X
Pediatrics Physician
30532
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000334825
ANTHEM
KY
Enumeration date
02/15/2006
Last updated
12/12/2011
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