Organization
LOUISVILLE INTERNAL MEDICINE & PEDIATRICS, LLC
Active
Organization
LOUISVILLE INTERNAL MEDICINE & PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARA ANN PALLARES M.D. (PRESIDENT)
(502) 454-5252
Entity
Organization
Contact information
Practice address
3101 BRECKENRIDGE LN, #4E, LOUISVILLE, KY 40220-2742
(502) 454-5252
(502) 454-5353
Mailing address
3101 BRECKENRIDGE LN, #4E, LOUISVILLE, KY 40220-2742
(502) 454-5252
(502) 454-5353
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30532
KY
208000000X
Pediatrics Physician
30532
KY
363LF0000X
Family Nurse Practitioner
002051P
KY
Other
Enumeration date
02/23/2007
Last updated
05/17/2024
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