Organization
METRO PEDIATRIC ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTIAN BERKHAHN MD (OWNER)
(502) 412-0597
Entity
Organization
Contact information
Practice address
417 BENJAMIN LN STE 101, LOUISVILLE, KY 40222-4939
(502) 412-0597
(502) 412-4637
Mailing address
417 BENJAMIN LN STE 101, LOUISVILLE, KY 40222-4845
(502) 412-0597
(502) 412-4637
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000293371
ANTHEM
KY
01
—
50001647
PASSPORT
KY
05
—
7100216620
—
KY
Enumeration date
11/15/2006
Last updated
09/08/2020
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