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

Commonwealth Family Medicine PLLC

Organization Family Medicine Physician · NPI 1902227937

Commonwealth Family Medicine PLLC is a Family Medicine Physician in Louisville, Kentucky. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
3
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

12400 Shelbyville Rd
Louisville, KY 40243-1419
Phone: (502) 883-2218
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X
Family Medicine Physician Taxonomy 207Q00000X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1902227937
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ray Kennedy — Medical Director · (502) 377-8138
NPI enumeratedDecember 17, 2013
Last updated in NPPESAugust 3, 2017
Mailing address12400 Shelbyville Road, Louisville, KY 40245-4313

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