Individual
ELVEDIN KULENOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
530 S JACKSON ST, # C07, LOUISVILLE, KY 40202-1675
(502) 852-5875
(502) 852-1754
Mailing address
PO BOX 21249, LOUISVILLE, KY 40221-0249
(502) 581-1500
(502) 540-4959
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
37697
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000329948
ANTHEM
KY
05
—
64076631
—
KY
01
—
P00125213
RAILROAD MEDICARE
KY
Enumeration date
06/13/2005
Last updated
02/19/2008
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