Organization
COMMONWEALTH PAIN ASSOCIATES, PLLC
Active
Other names
Commonwealth Pain & Spine
Organization subpart
No
Provider details
NPI number
Authorized official
JASON CARNES LEWIS MD (OWNER)
(502) 855-7200
Entity
Organization
Contact information
Practice address
2609 NEW HARTFORD RD STE 3, OWENSBORO, KY 42303-1316
(812) 476-7111
(812) 476-7117
Mailing address
120 EXECUTIVE PARK, LOUISVILLE, KY 40207-4201
(502) 907-0356
(502) 919-9780
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100536000
—
KY
Enumeration date
12/19/2017
Last updated
04/19/2019
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