Organization
HAROLD W. BLEVINS, M.D.,P.S.C.
Active
Other names
ENT Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J BROWN M.D. (PRESIDENT)
(502) 897-7300
Entity
Organization
Contact information
Practice address
3999 DUTCHMANS LN STE 3A, LOUISVILLE, KY 40207-4747
(502) 897-7300
(502) 897-3332
Mailing address
3999 DUTCHMANS LN STE 3A, LOUISVILLE, KY 40207-4747
(502) 897-7300
(502) 897-3332
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000057654
ANTHEM GROUP NUMBER
KY
01
—
000000057654
UNICARE NUMBER
—
01
—
1051605
PASSPORT GROUP #
KY
05
—
200458400A
—
IN
01
—
2433078000
PASSPORT ADVANTAGE
KY
01
—
CB3563
R R MEDICARE NUMBER
—
Enumeration date
01/09/2007
Last updated
01/05/2017
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