Organization
KENTUCKIANA ALLERGY PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL A. GARCIA II MD (PRESIDENT/MD)
(502) 426-1621
Entity
Organization
Contact information
Practice address
9113 LEESGATE RD, LOUISVILLE, KY 40222-5003
(502) 426-1621
(502) 426-7906
Mailing address
9113 LEESGATE RD, LOUISVILLE, KY 40222-5003
(502) 426-1621
(502) 426-7906
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100389960A
—
IN
05
—
65915878
—
KY
05
—
7100036520
—
KY
Enumeration date
08/21/2006
Last updated
06/19/2014
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