Organization
CH MSSP SERVICES KY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE HOWARD (SVP OF ADMINISTRATIVE SERVICES)
(337) 408-0797
Entity
Organization
Contact information
Practice address
4965 US HIGHWAY 42 STE 1000, LOUISVILLE, KY 40222-6375
(337) 408-0797
Mailing address
5750 JOHNSTON ST STE 205, LAFAYETTE, LA 70503-5345
(337) 408-0797
(337) 943-0846
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/08/2025
Last updated
05/23/2025
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