| Mobile Md Holdings Llc | |
|
9510 Ormsby Station Road Suite 100b Louisville KY 40223-4082 | |
| (502) 253-4140 | |
| Not Available |
| Full Name | Mobile Md Holdings Llc |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 9510 Ormsby Station Road, Louisville, Kentucky |
| Authorized Official Name and Position | Donna Cantwell (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5022534140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Md Holdings Llc 9510 Ormsby Station Rd Suite 100b Louisville KY 40223-4081 Ph: (502) 253-4140 | Mobile Md Holdings Llc 9510 Ormsby Station Road Suite 100b Louisville KY 40223-4082 Ph: (502) 253-4140 |
| NPI Number | 1023187234 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 03/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023187234 | NPI | - | NPPES |
| 65944530 | Medicaid | KY | |
| 78904810 | Medicaid | KY |
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