Organization
UNIVERSITY PEDIATRICS FOUNDATION, INC.
Active
Other names
University Child Health Specialists, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERARD P. RABALAIS M.D. (CHAIRMAN)
(502) 852-8600
Entity
Organization
Contact information
Practice address
1015 DORSEY LN, LOUISVILLE, KY 40223-2612
(502) 852-8500
(502) 852-8556
Mailing address
PO BOX 2469, LOUISVILLE, KY 40201-2469
(502) 852-8500
(502) 852-8556
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65908238
—
KY
Enumeration date
04/08/2008
Last updated
06/17/2008
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