Organization
HEYDAY HEALTH MEDICAL GROUP KENTUCKY, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NUPUR MEHTA (PRESIDENT)
(234) 200-0854
Entity
Organization
Contact information
Practice address
312 S 4TH ST STE 700, LOUISVILLE, KY 40202-3046
(855) 443-9329
Mailing address
143 BOARDMAN CANFIELD RD STE 359, BOARDMAN, OH 44512-4804
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
01/03/2023
Last updated
04/23/2025
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