Organization
LOUISVILLE HOSPITALIST ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN RAY M.D. (MEDICAL DIRECTOR)
(502) 895-8911
Entity
Organization
Contact information
Practice address
3950 KRESGE WAY, STE 308, LOUISVILLE, KY 40207-4637
(502) 895-9627
(502) 895-8977
Mailing address
3950 KRESGE WAY, STE 308, LOUISVILLE, KY 40207-4637
(502) 895-9627
(502) 895-8977
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100000830
—
KY
01
—
DG0894
RAILROAD MEDICARE KY
KY
Enumeration date
03/05/2007
Last updated
07/30/2019
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