Organization
UNIVERSITY PEDIATRICS FOUNDATION, INC.
Active
Other names
University Child Health Specialists, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERARD P. RABALAIS M.D. (CHAIRMAN DEPT. OF PEDIATRICS)
(502) 852-8600
Entity
Organization
Contact information
Practice address
9702 STONESTREET ROAD, SUITE 100, LOUISVILLE, KY 40272-6809
(502) 852-3361
(502) 852-2675
Mailing address
PO BOX 2469, LOUISVILLE, KY 40201-2469
(502) 852-8500
(502) 852-8556
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65908238
—
KY
Enumeration date
04/09/2008
Last updated
06/17/2008
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