Organization
LOUISVILLE COLORECTAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOWELL DEAN KATZ MD (PRESIDENT)
(502) 584-6666
Entity
Organization
Contact information
Practice address
250 EAST LIBERTY STREET, SUITE 610, LOUISVILLE, KY 40202-1536
(502) 584-6666
(502) 589-6342
Mailing address
250 E LIBERTY ST, SUITE 610, LOUISVILLE, KY 40202-1536
(502) 584-6666
(502) 589-6342
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
16857
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1048817
PASSPORT
KY
01
—
2432234000
PASSPORT ADVANTAGE
KY
05
—
65932006
—
KY
Enumeration date
10/04/2006
Last updated
04/20/2008
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