Organization
KENTUCKIANA CARDIOVASCULAR SPECIALISTS PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL NEWSOM (MANAGER)
(502) 589-7907
Entity
Organization
Contact information
Practice address
100 MALLARD CREEK RD STE 150, LOUISVILLE, KY 40207-5138
(502) 589-7907
(502) 589-1319
Mailing address
100 MALLARD CREEK RD STE 150, LOUISVILLE, KY 40207-5138
(502) 589-7907
(502) 589-1319
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
03/15/2019
Last updated
03/15/2019
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