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NPI Code Detail

MEDICARE: LOUISVILLE EAST PRIMARY CARE

MEDICARE: LOUISVILLE EAST PRIMARY CARE
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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1144417353
Entity Type Code : Organization
Provider Name (Legal Business Name) : LOUISVILLE EAST PRIMARY CARE
Provider Business Mailing Address
First Line : 213 N HURSTBOURNE PKWY
Second Line :
City : LOUISVILLE
State : KY
Zip : 40222-5139
Country : US
Telephone Number : 502-327-5135
Fax Number : 502-327-9475
Provider Business Practice Location Address
First Line : 213 N HURSTBOURNE PKWY
Second Line :
City : LOUISVILLE
State : KY
Zip : 40222-5139
Country : US
Telephone Number : 502-327-5135
Fax Number : 502-327-9475
Authorized Official
Title or Position : PRESIDENT
Name : DR. MICHELLE MORAN
Credential : M.D.
Telephone Number : 502-327-5135
Provider Enumeration Date : 10/02/2007
Last Update Date : 10/02/2007

Similar Medicare Providers

1063496412 — MRS. MELISSA SCHEENE HARDIN ARNP
Practice Location Address:
213 N HURSTBOURNE PKWY
LOUISVILLE, KY
40222-5139
Practice Phone: 502-327-5135
Practice Fax: 502-327-9475
1902880354 — MS. MICHELLE THERESA MORAN MD
Practice Location Address:
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LOUISVILLE, KY
40222-5139
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Practice Fax: 502-327-9475
1467438101 — ELIZABETH FARMER STUCKER MD
Practice Location Address:
213 N HURSTBOURNE PKWY
LOUISVILLE, KY
40222-5139
Practice Phone: 502-327-5135
Practice Fax: 502-327-9475
1811032014 — DR. DAWN LOWE COURTENAY MD
Practice Location Address:
213 N HURSTBOURNE PKWY
LOUISVILLE, KY
40222-5139
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Practice Fax: 502-327-9475
1336308279 — CRYSTAL NARCISSE MD
Practice Location Address:
213 N HURSTBOURNE PKWY
LOUISVILLE, KY
40222-5139
Practice Phone: 502-327-5135
Practice Fax: 502-327-9475
1023317880 — JING BRYANT MD
Practice Location Address:
213 N HURSTBOURNE PKWY
LOUISVILLE, KY
40222-5139
Practice Phone: 502-327-5135
Practice Fax: 502-327-9475

Directions to “LOUISVILLE EAST PRIMARY CARE ” Practice Location

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