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

Commonwealth Correctional Care

Organization Family Medicine Physician · NPI 1649060997

Commonwealth Correctional Care is a Family Medicine Physician in Louisville, Kentucky. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

15402 Champion Lakes Pl
Louisville, KY 40245-5601
Phone: (502) 552-3879
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1649060997
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Benjamin Hale — President · (606) 524-2880
NPI enumeratedMay 9, 2025
Last updated in NPPESMay 9, 2025
Certification dateMay 9, 2025
Mailing address15402 Champion Lakes Pl, Louisville, KY 40245-5601

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