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Organization

LOUISVILLE OBSERVATIONAL MEDICINE ASSOCIATES PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM D HOLLAND MD (PRESIDENT)
(502) 897-8100
Entity
Organization

Contact information

Practice address
4000 KRESGE WAY, LOUISVILLE, KY 40207-4605
(502) 897-8100
(904) 265-8181
Mailing address
PO BOX 778730, CHICAGO, IL 60677-8730
(502) 215-4229
(904) 265-8181

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
08/25/2021
Last updated
09/21/2021
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