Organization
COMMONWEALTH PAIN ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON CARNES LEWIS (OWNER)
(502) 855-3919
Entity
Organization
Contact information
Practice address
225 EXECUTIVE PARK, LOUISVILLE, KY 40207-4202
(502) 855-7200
(502) 855-7201
Mailing address
120 EXECUTIVE PARK, LOUISVILLE, KY 40207-4201
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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