Organization
COMMONWEALTH PAIN ASSOCIATES, PLLC
Active
Other names
Commonwealth Pain & Spine
Organization subpart
No
Provider details
NPI number
Authorized official
JASON CARNES LEWIS MD (OWNER)
(502) 855-3919
Entity
Organization
Contact information
Practice address
1107 CROWN POINTE DR STE 107, ELIZABETHTOWN, KY 42701-7280
(270) 506-3300
(270) 506-2843
Mailing address
13000 EQUITY PL STE 203, LOUISVILLE, KY 40223-3979
(502) 907-0356
(502) 919-9780
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K098500
MEDICARE PTAN
KY
Enumeration date
12/19/2017
Last updated
12/19/2017
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