Organization
KENTUCKIANA PAIN SPECIALISTS PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RADHIKA NAIR (PRACTICE ADMINISTRATOR)
(502) 995-4004
Entity
Organization
Contact information
Practice address
3710 CHAMBERLAIN LN STE A, LOUISVILLE, KY 40241-2002
(502) 995-4004
(502) 933-5559
Mailing address
PO BOX 24261, LOUISVILLE, KY 40224-0261
(502) 995-4004
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
6922560001
KY
Other
Enumeration date
04/08/2008
Last updated
03/23/2021
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