Organization
UNIVERSITY PEDIATRICS FOUNDATION, INC.
Active
Other names
University Child Health Specialists, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
GERARD P. RABALAIS MD (CHAIRMAN)
(502) 852-8600
Entity
Organization
Contact information
Practice address
601 S FLOYD ST, SUITE 805, LOUISVILLE, KY 40202-1845
(502) 852-7309
(502) 852-2908
Mailing address
PO BOX 2469, LOUISVILLE, KY 40201-2469
(502) 852-7309
(502) 852-2908
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65908238
—
KY
Enumeration date
06/08/2009
Last updated
06/10/2009
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