Organization
OLDHAM COUNTY EMERGENCY PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM LARSEN (VP , CREDENTIALING)
(770) 874-5400
Entity
Organization
Contact information
Practice address
1025 NEW MOODY LN, LA GRANGE, KY 40031-9154
(502) 222-5388
Mailing address
5665 NEW NORTHSIDE DR, ATLANTA, GA 30328-5831
(770) 874-5400
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
11/17/2025
Last updated
03/13/2026
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