<Unavail>

LBN: 2022 Llc
<Unavail> is an health care organization with primary practice located at 700 Gagel Ave , Louisville KY 40216-4008. The organization recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Family is the primary health care specialty. 2022 Llc can be contacted via phone (502) 963-5516, or through Giles, Xavier via phone (502) 384-0939.

Contact Information

Primary practice address
700 Gagel Ave Louisville KY 40216-4008
Phone: (502) 963-5516
Fax: (502) 963-5704
Website:
Map and Directions
Authorized official contact:
Name: Giles, Xavier
Phone: (502) 384-0939

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X

Profile Details

NPI number 1821809153
LBN Legal business name 2022 Llc
DBA Doing business as <Unavail>
Authorized official Giles, Xavier
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 16th, 2025
Last updated Oct 3rd, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821809153 NPPES
Kentucky MEDICAID 7101036390

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