Kentuckiana Allergy Psc

LBN: Kentuckiana Allergy Psc
Kentuckiana Allergy Psc is an health care organization with primary practice located at 9113 Leesgate Rd , Louisville KY 40222-5003. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Allergy & Immunology is the primary health care specialty. Kentuckiana Allergy Psc can be contacted via phone (502) 426-1621, or through Garcia, Daniel A. via phone (502) 426-1621.

Contact Information

Primary practice address
9113 Leesgate Rd Louisville KY 40222-5003
Phone: (502) 426-1621
Fax: (502) 426-7906
Website:
Map and Directions
Authorized official contact:
Name: Garcia, Daniel A. Doctor of Medicine (MD)
Phone: (502) 426-1621

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1790891125
LBN Legal business name Kentuckiana Allergy Psc
DBA Doing business as
Authorized official Garcia, Daniel A. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2006
Last updated Jun 19th, 2014 - about 12 years ago

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 1790891125 NPPES
Kentucky MEDICAID 65915878
Kentucky MEDICAID 7100036520
Kentucky MEDICAID 100389960A

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