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

Louisville Internal Medicine & Pediatrics, LLC

Organization Internal Medicine Physician · NPI 1265567572

Louisville Internal Medicine & Pediatrics, LLC is an Internal Medicine Physician in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2007.

Licensed in
KY
In the registry since
2007
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3101 Breckenridge Ln #4E
Louisville, KY 40220-2742
Phone: (502) 454-5252
Fax: (502) 454-5353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 30532 (KY)
Pediatrics Physician Taxonomy 208000000X · Licence 30532 (KY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 002051P (KY)

Record details

NPI number1265567572
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Clara Pallares — President · (502) 454-5252
NPI enumeratedFebruary 23, 2007
Last updated in NPPESMay 17, 2024
Certification dateMay 17, 2024
Mailing address3101 Breckenridge Ln, 4e, Louisville, KY 40220-2742

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