Louisville & So Indiana Pulmonary Care Plc

LBN: Louisville & So Indiana Pulmonary Care Plc
Louisville & So Indiana Pulmonary Care Plc is an health care organization with primary practice located at 4402 Churchman Ave Suite 409, Louisville KY 40215-1190. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Pulmonary Disease is the primary health care specialty. Louisville & So Indiana Pulmonary Care Plc can be contacted via phone (502) 368-9590, or through Killeen, Timothy via phone (502) 368-9590.

Contact Information

Primary practice address
4402 Churchman Ave Suite 409 Louisville KY 40215-1190
Phone: (502) 368-9590
Fax: (502) 368-9616
Website:
Map and Directions
Authorized official contact:
Name: Killeen, Timothy Doctor of Medicine (MD)
Phone: (502) 368-9590

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1083851257
LBN Legal business name Louisville & So Indiana Pulmonary Care Plc
DBA Doing business as
Authorized official Killeen, Timothy Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2009
Last updated Nov 10th, 2017 - about 7 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 1083851257 NPPES
Indiana MEDICAID 200926940A
Indiana Other 000000701204
Indiana Other DR3113
Indiana MEDICAID 7100144810

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