Organization
PEDIATRIC HEARTCARE PARTNERS PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES W BOONE MD (VICE PRESIDENT)
(502) 454-7107
Entity
Organization
Contact information
Practice address
916 DUPONT RAD, LOUISVILLE, KY 40207
(502) 454-7107
(502) 454-0347
Mailing address
916 DUPONT ROAD, LOUISVILLE, KY 40207
(502) 454-7107
(502) 454-0347
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
26152
KY
2080P0202X
Pediatric Cardiology Physician
27208
KY
2080P0202X
Pediatric Cardiology Physician
34007
KY
2080P0202X
Pediatric Cardiology Physician
41558
KY
Other
Enumeration date
02/21/2007
Last updated
12/05/2011
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