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Commonwealth of Kentucky — NPI 1326467986, Louisville, KY | NPI Central

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NPI 1326467986

OrganizationActive

Commonwealth of Kentucky

NPI 1326467986 · Multi-Specialty Clinic/Center · Louisville, KY

Provider details

NPI number: 1326467986
Entity type: Organization
Primary specialty: Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
Parent organization: Commonwealth of Kentucky
Organization subpart: Yes
Authorized official: Jennifer Moore, Assistant Director(502) 782-6117

Specialties & taxonomies

Multi-Specialty Clinic/CenterPrimary261QM1300X
Ambulatory Health Care Facilities

Practice location

4501 Louise Underwood Way

Louisville, KY 40216-3987

Phone: (502) 363-8421

Approximate (ZIP-level) locationGet directions

More KY providers

Mailing address

4501 Louise Underwood Way

Louisville, KY 40216-3987

Other names (DBA / former)

Doing business as: Lee Specialty Clinic
Doing business as: Lee Specialty Clinic

Registry dates

Enumerated: 2014-04-10
Last updated: 2024-08-07
Certified: 2024-08-07

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.