Organization
UNIVERSITY PHYSICIAN ASSOCIATES
Active
Other names
U of L Family Medicine Geriatrics
Organization subpart
No
Provider details
NPI number
Authorized official
BELINDA S LOVE MD (EXECUTIVE DIRECTOR)
(502) 562-6783
Entity
Organization
Contact information
Practice address
215 CENTRAL AVE, 102, LOUISVILLE, KY 40208
(502) 852-7449
(502) 852-1423
Mailing address
501 E BROADWAY, STE 120, LOUISVILLE, KY 40202
(502) 562-6783
(502) 562-6777
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31000102
—
KY
Enumeration date
04/20/2006
Last updated
02/12/2008
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