Organization
MEDICAL CENTER INTERNISTS, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH B CARTER M.D. (MEDICAL DOCTOR)
(502) 585-1200
Entity
Organization
Contact information
Practice address
225 ABRAHAM FLEXNER WAY, SUITE 304, LOUISVILLE, KY 40202-1846
(502) 585-1200
(502) 585-1207
Mailing address
225 ABRAHAM FLEXNER WAY, SUITE 304, LOUISVILLE, KY 40202-1846
(502) 585-1200
(502) 585-1207
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24559 25176 32796
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100461020A
INDIANA MEDICAID
KY
01
—
1065802
PASSPORT
KY
05
—
65923633
—
KY
01
—
CN6296
RAILROAD MEDICARE
KY
Enumeration date
08/18/2005
Last updated
08/31/2012
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