Organization
NIKORB MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THEADORE MICHAEL IVANCHAK (PRESIDENT)
(502) 849-4418
Entity
Organization
Contact information
Practice address
3900 KRESGE WAY, LOUISVILLE, KY 40207-4660
(502) 894-4418
(502) 894-8966
Mailing address
3900 KRESGE WAY, LOUISVILLE, KY 40207-4681
(502) 894-4418
(502) 894-8966
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
05/16/2006
Last updated
08/22/2020
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