Organization
PAIN MANAGEMENT CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY WOLFSON (OFFICE MANAGER)
(502) 635-2775
Entity
Organization
Contact information
Practice address
1169 EASTERN PKWY, SUITE 2211, LOUISVILLE, KY 40217-1417
(502) 635-2775
(502) 371-0475
Mailing address
1169 EASTERN PKWY, SUITE 2211, LOUISVILLE, KY 40217-1417
(502) 635-2775
(502) 371-0475
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
22581
KY
261QP3300X
Pain Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64225816
—
KY
05
—
65903056
—
KY
05
—
7100130090
—
KY
05
—
78903192
—
KY
01
—
DA3323
MEDICARE RR
KY
Enumeration date
12/13/2006
Last updated
02/27/2024
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