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Individual

MAURICE K ALLGEIER III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6425 BARDSTOWN RD, LOUISVILLE, KY 40291-3040
(502) 762-0498
(502) 762-0469
Mailing address
PO BOX 590293, LOUISVILLE, KY 40295-0293
(405) 682-3303
(405) 792-8993

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
KY37862
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000291437
ANTHEM BCBS
KY
05
64066251
KY
Enumeration date
05/23/2005
Last updated
05/01/2016
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