Organization
KENTUCKIANA PULMONARY ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN WESLEY MCCONNELL M.D. (PRESIDENT)
(502) 587-8000
Entity
Organization
Contact information
Practice address
100 W MARKET ST, SUITE 2, LOUISVILLE, KY 40202-1332
(502) 587-8000
(502) 583-8001
Mailing address
PO BOX 950154 DEPT 52937, LOUISVILLE, KY 40295-0154
(502) 587-8000
(502) 583-8001
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200203050
—
IN
05
—
65930935
—
KY
Enumeration date
05/11/2006
Last updated
06/10/2008
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