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NPI Code Detail

MEDICARE: EDWARD C ADLER AND ASSOCIATES

MEDICARE: EDWARD C ADLER AND ASSOCIATES
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
2174400000XSpecialist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000355586OTHERKYANTHEM PIN #
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4000000049919OTHERKYANTHEM PIN #
500000023668OTHERKYANTHEM PIN #
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8000000049918OTHERKYANTHEM PIN #
9MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11000000049917OTHERKYANTHEM PIN #

General Provider Information

NPI Number : 1700886637
Entity Type Code : Organization
Provider Name (Legal Business Name) : EDWARD C ADLER AND ASSOCIATES
Provider Business Mailing Address
First Line : 4001 DUTCHMANS LN
Second Line : SUITE 7B
City : LOUISVILLE
State : KY
Zip : 40207-4714
Country : US
Telephone Number : 502-896-4711
Fax Number : 502-896-4791
Provider Business Practice Location Address
First Line : 4001 DUTCHMANS LN
Second Line : SUITE 7B
City : LOUISVILLE
State : KY
Zip : 40207-4714
Country : US
Telephone Number : 502-896-4711
Fax Number : 502-896-4791
Authorized Official
Title or Position : PHYSICAIN
Name : DR. EDWARD ADLER
Credential :
Telephone Number : 502-896-4711
Provider Enumeration Date : 07/21/2005
Last Update Date : 09/16/2010

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Directions to “EDWARD C ADLER AND ASSOCIATES ” Practice Location

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