Organization
UNIVERSITY PEDIATRICS FOUNDATION, INC.
Active
Other names
University Child Health Specialists, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERARD P RABALAIS MD (CHAIRMAN DEPARTMENT OF PEDIATRICS)
(502) 852-8604
Entity
Organization
Contact information
Practice address
231 E CHESTNUT ST, LOUISVILLE, KY 40202-1821
(502) 852-8500
(502) 852-8556
Mailing address
PO BOX 2469, LOUISVILLE, KY 40201-2469
(502) 852-8500
(502) 852-8556
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207KA0200X
Allergy Physician
—
—
207LP3000X
Pediatric Anesthesiology Physician
—
—
208000000X
Pediatrics Physician
Primary
—
KY
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
—
—
2080P0201X
Pediatric Allergy/Immunology Physician
—
—
2080P0202X
Pediatric Cardiology Physician
—
—
2080P0203X
Pediatric Critical Care Medicine Physician
—
—
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
—
—
208M00000X
Hospitalist Physician
—
—
363L00000X
Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
363LP0222X
Critical Care Pediatric Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100005790
—
IN
05
—
65908238
—
KY
05
—
7890417400
—
KY
Enumeration date
08/30/2006
Last updated
08/30/2011
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