OrganizationActive
Body Shape Medical
NPI 1902287832 · Health Maintenance Organization · Louisville, KY
Provider details
- NPI number
- 1902287832
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Elizabeth Bates, Medical Director(502) 638-4906
- License
- 3009403 (KY)
Specialties & taxonomies
Managed Care Organizations
Practice location
4211 Springhurst Blvd
Louisville, KY 40241-6161
Phone: (502) 638-4906
Approximate (ZIP-level) locationGet directions
Mailing address
4211 Springhurst Blvd
Louisville, KY 40241-6161
Registry dates
- Enumerated
- 2015-06-16
- Last updated
- 2015-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.