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Organization

ALLIED UROLOGY, P.S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FREDERICK H WITTEN M.D. (PHYSICIAN)
(502) 897-5147
Entity
Organization

Contact information

Practice address
912 DUPONT RD, LOUISVILLE, KY 40207-4602
(502) 897-5147
(502) 895-3783
Mailing address
912 DUPONT ROAD, LOUISVILLE, KY 40207-4602
(502) 897-5147
(502) 895-3783

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
200821820A
MEDICAID IN
IN
05
65945222
KY
01
DE6177
RAILROAD MEDICARE
KY
Enumeration date
12/05/2006
Last updated
03/15/2010
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