Organization
UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION
Active
Parent organization
UNIVERSITY OF LOUISVILLE
Other names
ULRF Pediatric Hematology/Oncology
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF LOUISVILLE
Authorized official
DAVID DUNN MD (EVP OF HEALTH AFFAIRS)
(502) 852-5184
Entity
Organization
Contact information
Practice address
210 E GRAY ST, SUITE 601, LOUISVILLE, KY 40202-3900
(502) 852-5466
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0320
(502) 588-0326
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65906513
—
KY
Enumeration date
12/11/2013
Last updated
05/20/2014
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