OrganizationActive
Longevity Clinical Ltc Associates of Kentucky, PLLC
NPI 1932935798 · Geriatric Medicine (Family Medicine) Physician · Louisville, KY
Provider details
- NPI number
- 1932935798
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Diane Vincur, Manager(561) 815-2427
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Gerontology Nurse Practitioner363LG0600X
Physician Assistants & Advanced Practice Nursing Providers
- Primary Care Nurse Practitioner363LP2300X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2100 Cherokee Ridge Way Ste 100
Louisville, KY 40205-1600
Phone: (502) 667-8150
Approximate (ZIP-level) locationGet directions
Mailing address
11780 US Highway 1 Ste N107
North Palm Beach, FL 33408-3007
Registry dates
- Enumerated
- 2024-09-10
- Last updated
- 2024-09-10
- Certified
- 2024-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.