Organization
LOUISVILLE INTERNAL MEDICINE
Active
Organization
LOUISVILLE INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN JANOCIK MD (PRESIDENT)
(502) 895-4772
Entity
Organization
Contact information
Practice address
3950 KREGGE WAY, SUITE 303, LOUISVILLE, KY 40207
(502) 895-4772
(502) 895-8396
Mailing address
3950 KREGGE WAY, SUITE 303, LOUISVILLE, KY 40207
(502) 895-4772
(502) 895-8396
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25901
KY
207R00000X
Internal Medicine Physician
28032
KY
207R00000X
Internal Medicine Physician
Primary
32690
KY
207R00000X
Internal Medicine Physician
35865
KY
Other
Enumeration date
05/26/2006
Last updated
08/22/2020
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