Organization · NPI-2

Commonwealth Pain Associates PLLC

Non-Pharmacy Dispensing Site · Louisville, KY

NPI number1003703968
StatusActive
Last updated in NPPESJun 23, 2025

Details

NPI
1003703968
Entity type
Organization (NPI-2)
Legal business name
Commonwealth Pain Associates PLLC
Organization subpart
No
Enumeration date
Jun 23, 2025
Certification date
Jun 23, 2025
Last updated
Jun 23, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332900000X Non-Pharmacy Dispensing Site––Yes

Other names

  • Commonwealth Pain & Spine (Doing Business As)

Practice location

400 Executive Park
Louisville, KY 40207-4204

Phone 502-855-7200 · Fax 502-855-7201

Mailing address

Po Box 21890
Belfast, ME 04915-4115

Phone 502-907-0356 · Fax 502-919-9780

Authorized official

Jason Carnes Lewis
Owner
5028553919

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