Organization
NEUROSCIENCE ASSOCIATES PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES E MCKIERNAN MD (PRESIDENT)
(502) 895-7265
Entity
Organization
Contact information
Practice address
3900 KRESGE WAY, SUITE 56, LOUISVILLE, KY 40207-4683
(502) 895-7265
(502) 897-2113
Mailing address
3900 KRESGE WAY, SUITE 56, LOUISVILLE, KY 40207-4683
(502) 895-7265
(502) 897-2113
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002940
—
IN
05
—
1049098
—
KY
01
—
5929
ANTHEM
KY
05
—
65904971
—
KY
01
—
CN0117
MEDICARE ID
—
Enumeration date
08/23/2006
Last updated
05/16/2008
Update your record
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