Organization
KENTUCKY PAIN MANAGEMENT PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT W BYRD M.D. (OWNER)
(502) 447-2222
Entity
Organization
Contact information
Practice address
1939 GOLDSMITH LN STE 117, LOUISVILLE, KY 40218-3176
(502) 447-2222
(502) 448-2215
Mailing address
1939 GOLDSMITH LN STE 117, LOUISVILLE, KY 40218-3176
(502) 447-2222
(502) 448-2215
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
34304
KY
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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