Individual
MARK CONLIFFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
506 EXECUTIVE PARK, LOUISVILLE, KY 40207
(502) 822-6603
(502) 747-7071
Mailing address
506 EXECUTIVE PARK, LOUISVILLE, KY 40207-4205
(502) 822-6603
(502) 747-7071
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
03729
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001281272
ANTHEM PROVIDER ID NUMBER
—
01
—
10595671
PRIME HEALTH SERVICES PROVIDER ID NUMBER
—
01
—
1284492
CIGNA PROVIDER ID NUMBER
—
01
—
172422
SIHO PROVIDER ID NUMBER
—
01
—
1876096
WELLCARE OF KENTUCKY PROVIDER ID NUMBER
KY
05
—
300026222
—
IN
01
—
5019804
AETNA PROVIDER ID NUMBER
—
01
—
5347788
UNITED HEALTHCARE PROVIDER ID NUMBER
—
05
—
7100463740
—
KY
01
—
CS1923300101
CARESOURCE PROVIDER ID NUMBER
—
01
—
PDZ000000033943
AETNA BETTER HEALTH OF KY PROVIDER ID NUMBER
KY
Enumeration date
06/23/2011
Last updated
05/13/2025
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