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Organization

ALLCARE MEDICAL CENTERS OF KENTUCKIANA,LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHRIS KOFORD M.D. (MEDICAL DIRECTOR)
(502) 447-5455
Entity
Organization

Contact information

Practice address
3934 DIXIE HWY, STE 346, LOUISVILLE, KY 40216-4163
(502) 447-5455
(502) 447-5499
Mailing address
3934 DIXIE HWY, STE 346, LOUISVILLE, KY 40216-4163
(502) 447-5455
(502) 447-5499

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
39534
KY
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
35781
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
39534
MEDICAL LICENSE
KY
Enumeration date
12/04/2007
Last updated
12/04/2007
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