Organization
SHC MEDICAL PARTNERS OF KENTUCKY, LLC
Active
Parent organization
SHC MEDICAL PARTNERS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHC MEDICAL PARTNERS, LLC
Authorized official
MRS. PENNY LOGAN (COO)
(502) 558-2193
Entity
Organization
Contact information
Practice address
2529 SIX MILE LN, LOUISVILLE, KY 40220
(502) 491-5560
(502) 491-0214
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
(502) 558-2193
(502) 568-7121
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
KY
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100185200
—
KY
05
—
7100405980
—
KY
Enumeration date
01/07/2008
Last updated
03/30/2023
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