Organization
COMMONWEALTH PAIN ASSOCIATES PLLC
Active
Other names
Commonwealth Pain Associates PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
JASON CARNES LEWIS (OWNER)
(502) 855-3919
Entity
Organization
Contact information
Practice address
305 ESTILL ST FL 4, BEREA, KY 40403-1742
(859) 275-5229
(859) 977-2683
Mailing address
120 EXECUTIVE PARK, LOUISVILLE, KY 40207-4201
(502) 907-0356
(502) 919-9780
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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