Organization
LOUISVILLE-JEFFERSON COUNTY METRO GOVERNMENT
Active
Other names
Louisville MetroDepart of Public Health & Wellness - Jeff County Lab
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROBYN DICKERSON MSM (FISCAL MANAGER)
(502) 574-6580
Entity
Organization
Contact information
Practice address
430 EAST GRAY STREET, LOUISVILLE, KY 40202
(502) 574-6540
(502) 574-6614
Mailing address
400 E GRAY ST, P. O. BOX 1704, LOUISVILLE, KY 40202-1740
(502) 574-6514
(502) 574-6417
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1060990
PASSPORT MANAGED CARE NUM
KY
05
—
37902889
—
KY
Enumeration date
02/22/2007
Last updated
04/22/2024
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