Healthcare Provider Details

I. General information

NPI: 1013193077
Provider Name (Legal Business Name): LAMBERT, KLAMER AND GUPTA, PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2008
Last Update Date: 01/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3991 DUTCHMANS LN SUITE 103
LOUISVILLE KY
40207-4700
US

IV. Provider business mailing address

3991 DUTCHMANS LN SUITE 103
LOUISVILLE KY
40207-4700
US

V. Phone/Fax

Practice location:
  • Phone: 502-897-0635
  • Fax: 502-895-3219
Mailing address:
  • Phone: 502-897-0635
  • Fax: 502-895-3219

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number StateKY

VIII. Authorized Official

Name: DR. THOMAS W KLAMER
Title or Position: ADMINISTRATOR
Credential: MD
Phone: 502-897-0635