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NPI Code Detail

MEDICARE: SYNERGY CARE LLC

MEDICARE: SYNERGY CARE LLC
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
1363L00000XNurse Practitioner
2261QI0500XInfusion Therapy Clinic/Center

General Provider Information

NPI Number : 1386503076
Entity Type Code : Organization
Provider Name (Legal Business Name) : SYNERGY CARE LLC
Provider Business Mailing Address
First Line : 6400 DUTCHMANS PKWY STE 390
Second Line :
City : LOUISVILLE
State : KY
Zip : 40205-3340
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6400 DUTCHMANS PKWY STE 390
Second Line :
City : LOUISVILLE
State : KY
Zip : 40205-3340
Country : US
Telephone Number : 833-425-6868
Fax Number : 855-217-1930
Authorized Official
Title or Position : DIVISION PRESIDENT
Name : JUDERAL HALL
Credential :
Telephone Number : 800-482-8466
Provider Enumeration Date : 01/19/2026
Last Update Date : 01/19/2026

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Directions to “SYNERGY CARE LLC ” Practice Location

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