Organization
MUSCULOSKELETAL ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK CONLIFFE DO (OWNER)
(502) 639-8722
Entity
Organization
Contact information
Practice address
506 EXECUTIVE PARK, LOUISVILLE, KY 40207-4205
(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
—
—
213E00000X
Podiatrist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300075562
—
IN
05
—
7100816010
—
KY
05
—
7100819670
—
KY
05
—
7100918830
—
KY
Enumeration date
05/18/2016
Last updated
09/03/2025
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