institution
University Of Louisville Research Foundation, Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Louisville, Kentucky
NPI 1629075825

University Of Louisville Research Foundation, Inc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Louisville, KY and is specialized in End-Stage Renal Disease (ESRD) Treatment. University Of Louisville Research Foundation, Inc practices in Louisville, KY. The NPI Number for University Of Louisville Research Foundation, Inc is 1629075825 and holds a License No. 182501 (Kentucky).

The current practice location address for University Of Louisville Research Foundation, Inc is 615 S Preston St, Louisville, KY and can be reached out via phone at 502-852-5757 and via fax at 502-852-4039.

Location: 615 S Preston St, Louisville, KY, 40202-1715
institution
Provider Profile Details
NPI Number
1629075825
Provider Name
University Of Louisville Research Foundation, Inc
Credential
Provider Entity Type
Organization
Address
615 S Preston St, Louisville, KY, 40202-1715
Phone Number
502-852-5757
Fax Number
502-852-4039
Provider Enumeration Date
07/01/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100003040A 01 IN INDIANA MEDICAID
39090030 05 KY
000003108H 01 KY HUMANA HEALTH CARE NUMBER
004541476 01 KY AETNA PROVIDER #
50001023 05 KY
5416V4981 01 KY AHDS PROVIDER #
000000112462 01 KY BCBS 12 DIGIT PROVIDER #
350 01 KY BLUE CROSS NUMBER
institution
Provider Business Practice Location Address Details
Address
615 S Preston St
City
State
Zip
40202-1715
Phone Number
502-852-5757
Fax Number
502-852-4039
person
Provider Business Mailing Address Details
Address
615 S Preston St
City
State
Zip
40202-1715
Phone Number
502-852-5757
Fax Number
502-852-4039
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
182501 (Kentucky)
Definition
Definition to come...
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