Healthcare Provider Details

I. General information

NPI: 1396865580
Provider Name (Legal Business Name): RHEUMATOLOGY ASSOCIATES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2007
Last Update Date: 10/25/2022
Certification Date: 10/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3430 NEWBURG RD 250
LOUISVILLE KY
40218-2497
US

IV. Provider business mailing address

3430 NEWBURG RD 250
LOUISVILLE KY
40218-2497
US

V. Phone/Fax

Practice location:
  • Phone: 502-893-3963
  • Fax: 502-897-1792
Mailing address:
  • Phone: 502-893-3963
  • Fax: 502-897-1792

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. WENDY LYNN HUSBAND
Title or Position: ASSISTANT ADMINISTRATOR
Credential:
Phone: 502-893-3963