Individual
CHRISTOPHER V. PITCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2400 EASTPOINT PKWY STE 110, LOUISVILLE, KY 40223-4154
(502) 253-6699
(502) 253-6670
Mailing address
2700 STANLEY GAULT PKWY STE 129, LOUISVILLE, KY 40223-5176
(502) 489-6613
(502) 489-5751
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28836
KY
207QS0010X
Sports Medicine (Family Medicine) Physician
28836
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000052204
ANTHEM BCBS
KY
Enumeration date
06/14/2006
Last updated
11/02/2021
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