Individual
JUAN MANUEL GALVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 E CHESTNUT ST UNIT 690, LOUISVILLE, KY 40202-5706
(502) 588-4710
(502) 588-4771
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-4710
(502) 588-4771
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
49201
KY
207R00000X
Internal Medicine Physician
BP10047612
TX
207RP1001X
Pulmonary Disease Physician
Primary
49201
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49201
MEDICAL LICENSE
KY
Enumeration date
06/10/2013
Last updated
10/27/2023
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