Individual
KARL BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
214 BRECKENRIDGE LN, 104, LOUISVILLE, KY 40207-3868
(502) 893-3388
Mailing address
7400 NEW LA GRANGE RD, STE 310, LOUISVILLE, KY 40222-4870
(502) 893-3388
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
34003371A
IN
1041C0700X
Clinical Social Worker
Primary
KY-1123
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000344331
ANTHEM BLUE CROSS AND BLUE SHIELD
KY
05
—
8200100900
—
KY
Enumeration date
01/13/2007
Last updated
12/12/2016
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