Organization
LOUISVILLE PALLIATIVE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANE E CORNETT MD (OWNER)
(502) 262-5172
Entity
Organization
Contact information
Practice address
3625 FERN VALLEY ROAD, LOUISVILLE, KY 40219-1916
(502) 262-5172
(502) 244-6249
Mailing address
5644 RELIABLE PARKWAY, CHICAGO, IL 60686-0056
(502) 262-5172
(502) 244-6249
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
25867
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100149990
—
KY
Enumeration date
08/18/2009
Last updated
08/31/2017
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