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) 855-3919
Entity
Organization
Contact information
Practice address
320 THOMAS MORE PKWY STE 202, CRESTVIEW HILLS, KY 41017-3456
(859) 331-0432
(859) 331-0956
Mailing address
13000 EQUITY PL STE 203, LOUISVILLE, KY 40223-3979
(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
—
7100318140
—
KY
Enumeration date
02/12/2018
Last updated
02/12/2018
Update your record
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