Organization
KENTUCKIANNA INFECTIOUS DISEASES CONSULTANTS PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARBARA T WOJDA M.D. (OWNER)
(502) 895-6155
Entity
Organization
Contact information
Practice address
125 FAIRFAX AVE, LOUISVILLE, KY 40207-4905
(502) 895-6155
(502) 895-6156
Mailing address
125 FAIRFAX AVE, LOUISVILLE, KY 40207-4905
(502) 895-6155
(502) 895-6156
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
29673
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000228821
BLUE CROSS/ ANTHEM
KY
01
—
1054531
PASSPORT
KY
05
—
200209850A
—
IN
05
—
64296734
—
KY
Enumeration date
08/11/2006
Last updated
03/13/2015
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