Organization
UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION INC.
Active
Parent organization
UNIVERSITY OF LOUISVILLE
Other names
ULRF Family Medicine - Cardinal Station
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF LOUISVILLE
Authorized official
TONI GANZEL MD (VP FOR ACADEMIC MEDICAL AFFAIRS)
(503) 852-5555
Entity
Organization
Contact information
Practice address
215 CENTRAL AVE, SUITE 100, LOUISVILLE, KY 40208-1449
(502) 588-8720
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0320
(502) 588-0326
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65900474
—
KY
Enumeration date
12/12/2013
Last updated
08/25/2020
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