Organization
UNIVERSITY PEDIATRICS FOUNDATION, INC.
Active
Other names
University Child Health Specialists, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
GERARD P RABALAIS MD (CHAIRMAN)
(502) 852-8600
Entity
Organization
Contact information
Practice address
215 CENTRAL AVE, STE. 205, LOUISVILLE, KY 40208-1449
(502) 629-3320
(502) 852-5405
Mailing address
PO BOX 2469, LOUISVILLE, KY 40201-2469
(502) 852-8500
(502) 852-8556
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100005790
—
IN
05
—
65908238
—
KY
Enumeration date
04/18/2012
Last updated
04/18/2012
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