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Organization

DR KAVITA MEHTA, PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KAVITA MEHTA MD (OWNER)
(502) 298-2565
Entity
Organization

Contact information

Practice address
4041 WHITEBLOSSOM ESTATES CT, LOUISVILLE, KY 40241-6110
(502) 298-2565
Mailing address
4041 WHITEBLOSSOM ESTATES CT, LOUISVILLE, KY 40241-6110
(502) 298-2565

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64021926
KY
Enumeration date
11/10/2017
Last updated
11/10/2017
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