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NPI Code Detail

MEDICARE: CONTI MEDICAL CONCEPTS

MEDICARE: CONTI MEDICAL CONCEPTS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1335E00000XProsthetic/Orthotic Supplier

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154399970
Entity Type Code : Organization
Provider Name (Legal Business Name) : CONTI MEDICAL CONCEPTS
Provider Business Mailing Address
First Line : 3006 EASTPOINT PKWY
Second Line :
City : LOUISVILLE
State : KY
Zip : 40223-4185
Country : US
Telephone Number : 502-253-6881
Fax Number : 502-253-6882
Provider Business Practice Location Address
First Line : 3006 EASTPOINT PKWY
Second Line :
City : LOUISVILLE
State : KY
Zip : 40223-4185
Country : US
Telephone Number : 502-253-6881
Fax Number : 502-253-6882
Authorized Official
Title or Position : VICE PRESIDENT
Name : MRS. VICTORIA CONTI
Credential :
Telephone Number : 502-253-6881
Provider Enumeration Date : 03/09/2006
Last Update Date : 08/22/2020

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Directions to “CONTI MEDICAL CONCEPTS ” Practice Location

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