Organization
KENTUCKIANA EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL D BISHOP M.D. (CEO)
(812) 336-1690
Entity
Organization
Contact information
Practice address
1 AUDUBON PLAZA DR, LOUISVILLE, KY 40217-1318
(502) 636-7111
Mailing address
PO BOX 4778, BLOOMINGTON, IN 47402-4778
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
40432
KY
Other
Enumeration date
12/14/2006
Last updated
08/22/2020
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