Individual
LOUISE M BOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12615 TAYLORSVILLE RD, LOUISVILLE, KY 40299-4452
(502) 261-1595
(502) 261-1599
Mailing address
PO BOX 950202, LOUISVILLE, KY 40295-0202
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
29848
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000014952X
HUMANA / NCMA
—
01
—
0000350819
ANTHEM - NCMA
KY
01
—
048233
SIHO / NCMA
—
01
—
1194518
CHA / NCMA
—
01
—
2446866000
PASSPORT ADVANTAGE - NCMA
KY
01
—
2446866000
PASSPORT ADVANTAGE / NCMA -TYLER
—
01
—
3729659000
PASSPORT ADVANGATE - TYLER
KY
01
—
50005562
PASSPORT - NCMA
KY
01
—
50025010
PASSPORT / NCMA TYLER
—
05
—
64298482
—
KY
01
—
7398219
CIGNA / NCMA
—
01
—
P00219045
RAILROAD MEDICARE
KY
Enumeration date
04/18/2006
Last updated
11/10/2014
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