Organization
LOUISVILLE EMERGENCY MEDICINE ASSOCIATES
Active
Other names
Louisville Emergency Medicine Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK R GERUGHTY MD (PRESIDENT)
(502) 899-7646
Entity
Organization
Contact information
Practice address
4000 KRESGE WAY, LOUISVILLE, KY 40207-4605
(502) 897-8141
Mailing address
PO BOX 6749, LOUISVILLE, KY 40206-0749
(502) 899-7716
(502) 899-7648
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78905155
—
KY
Enumeration date
07/27/2007
Last updated
07/27/2007
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