Organization
INFINITY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK PICKFORD (CREDENTIALING MANAGER)
(502) 293-7377
Entity
Organization
Contact information
Practice address
2515 7TH STREET RD, LOUISVILLE, KY 40208-1070
(585) 402-9286
(502) 632-1432
Mailing address
2515 7TH STREET RD, LOUISVILLE, KY 40208-1070
(585) 402-9286
(502) 632-1432
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861867830
NPI
—
Enumeration date
12/16/2022
Last updated
03/11/2024
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