Organization
COMMONWEALTH PAIN ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON CARNES LEWIS (OWNER)
(502) 855-3919
Entity
Organization
Contact information
Practice address
1107 CROWN POINTE DR STE 107, ELIZABETHTOWN, KY 42701-7280
(270) 506-3300
(270) 506-2843
Mailing address
1107 CROWN POINTE DR STE 107, ELIZABETHTOWN, KY 42701-7280
(270) 506-3300
(270) 506-2843
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
—
—
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
01/27/2022
Last updated
01/27/2022
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