OrganizationActive
Pediatric Associates of Louisville, PLLC
NPI 1376901868 · Pediatric Clinical Nurse Specialist · Louisville, KY
Provider details
- NPI number
- 1376901868
- Entity type
- Organization
- Primary specialty
- Pediatric Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Authorized official
- Lisa Paris, Billing
- License
- 1065462 (KY)
Practice location
5721 Bardstown Rd
Louisville, KY 40291-1913
Phone: (502) 231-1144
Fax: (502) 231-1508
Mailing address
5721 Bardstown Rd
Louisville, KY 40291-1913
Registry dates
- Enumerated
- 2016-01-29
- Last updated
- 2016-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.