Organization
KENTUCKIANA PERINATOLOGY PSC
Active
Parent organization
KENTUCKIANA PERINATOLOGY PSC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KENTUCKIANA PERINATOLOGY PSC
Authorized official
DR. MARCELLO PIETRANTONI M.D. (OWNER)
(502) 582-6900
Entity
Organization
Contact information
Practice address
210 E GRAY ST STE 602, LOUISVILLE, KY 40202-3902
(502) 582-6900
Mailing address
210 E GRAY ST STE 602, LOUISVILLE, KY 40202-3902
(502) 582-6900
Taxonomy
Speciality
Code
Description
License number
State
363LP1700X
Perinatal Nurse Practitioner
Primary
3321P
KY
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
3321P
KY
Other
Enumeration date
10/24/2008
Last updated
10/24/2008
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