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

Cpo PSC

Organization Pain Medicine Physician · NPI 1720090525

Cpo PSC is a Pain Medicine Physician in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2006.

Licensed in
KY
In the registry since
2006
Specialties on file
3
What do these letters mean?
PSC — Professional service corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4402 Churchman Ave Ste 404
Louisville, KY 40215-1190
Phone: (502) 363-4156
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine Physician (primary) Taxonomy 208VP0000X · Licence 31716 (KY)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence 31716 (KY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 5222 (KY)

Record details

NPI number1720090525
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lawrence Peters — Md · (502) 366-0970
NPI enumeratedAugust 12, 2006
Last updated in NPPESMay 27, 2022
Certification dateMay 27, 2022
Mailing addressPo Box 30563, Belfast, ME 04915-2057

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