Commonwealth of Kentucky
Commonwealth of Kentucky is a Multi-Specialty Clinic/Center in Louisville, Kentucky. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
1800 Bluegrass AveLouisville, KY 40215-1130
Phone: (502) 361-2301
Fax: (502) 366-0367
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Multi-Specialty Clinic/Center (primary) | Taxonomy 261QM1300X |
|---|
Record details
| NPI number | 1114346467 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Commonwealth of Kentucky |
| Authorized official | Jennifer Moore — Assistant Director · (502) 782-6117 |
| Other names | Hazelwood Specialty Clinic; Hazelwood Specialty Clinic; Hazelwood Specialty Clinic |
| NPI enumerated | April 15, 2014 |
| Last updated in NPPES | August 7, 2024 |
| Certification date | August 7, 2024 |
| Mailing address | 1800 Bluegrass Ave, Louisville, KY 40215-1130 |
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