Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cleanslate Medical Group of Kentucky PLLC

Organization Addiction Medicine (Internal Medicine) Physician · NPI 1538600630

Cleanslate Medical Group of Kentucky PLLC is an Addiction Medicine (Internal Medicine) Physician in Louisville, Kentucky. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6801 Dixie Hwy Ste 132
Louisville, KY 40258-3952
Phone: (502) 657-2701
Fax: (833) 279-7074
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Internal Medicine) Physician (primary) Taxonomy 207RA0401X

Record details

NPI number1538600630
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Smolarek — Cfo · (412) 999-5188
NPI enumeratedMarch 9, 2017
Last updated in NPPESDecember 17, 2025
Certification dateDecember 17, 2025
Mailing address8 Cadillac Dr Ste 300, Brentwood, TN 37027-5337

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