OrganizationActive
University Pediatric Pulmonary, LLC
NPI 1891026035 · Pediatric Pulmonology Physician · Louisville, KY
Provider details
- NPI number
- 1891026035
- Entity type
- Organization
- Primary specialty
- Pediatric Pulmonology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gerard Rabalais, Chairman(502) 852-8600
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pediatric Nurse Practitioner363LP0200X
Physician Assistants & Advanced Practice Nursing Providers
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
Practice location
234 E. Gray St.
Ste. 270
Louisville, KY 40202-1903
Phone: (502) 629-8830
Fax: (502) 629-7540
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2469
Louisville, KY 40201-2469
Registry dates
- Enumerated
- 2010-01-28
- Last updated
- 2010-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.