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

Old Henry Family Practice, PLLC

Organization Family Medicine Physician · NPI 1619202306

Old Henry Family Practice, PLLC is a Family Medicine Physician in Louisville, Kentucky. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
2
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

2503 Bush Ridge Dr Ste A
Louisville, KY 40245-5885
Phone: (502) 245-2701
Fax: (502) 290-2839
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1619202306
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richa Gupta — Owner · (502) 295-8141
NPI enumeratedOctober 14, 2009
Last updated in NPPESSeptember 29, 2011
Mailing address2503 Bush Ridge Dr, Suite A, Louisville, KY 40245-5885

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