Organization
LOUISVILLE PM&R PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN L SWINT MD (OWNER)
(502) 472-7089
Entity
Organization
Contact information
Practice address
4120 WOODED ACRE LN, LOUISVILLE, KY 40245-2938
(502) 963-1905
Mailing address
PO BOX 22306, LOUISVILLE, KY 40252-0306
(502) 963-1905
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000991965
ANTHEM
KY
01
—
50103348
PASSPORT HEALTH PLAN
KY
05
—
7100397810
—
KY
01
—
DW2736
RAILROAD MEDICARE
KY
Enumeration date
01/07/2016
Last updated
12/07/2021
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