American Health Network Of Kentucky, LLC
Internal Medicine in Louisville, KY. Organization (NPI-2).
NPI number1225643992
StatusActive
Last updated in NPPESMay 23, 2022
Details
- NPI
- 1225643992
- Entity type
- Organization (NPI-2)
- Legal business name
- American Health Network Of Kentucky, LLC
- Organization subpart
- No
- Enumeration date
- Sep 10, 2020
- Certification date
- May 23, 2022
- Last updated
- May 23, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 363A00000X | Physician Assistant | – | – | |
| 363L00000X | Nurse Practitioner | – | – | |
| 207RN0300X | Internal Medicine, Nephrology | – | – | |
| 207X00000X | Orthopaedic Surgery | – | – | |
| 363LF0000X | Nurse Practitioner, Family | – | – | |
| 208100000X | Physical Medicine & Rehabilitation | – | – | |
| 208600000X | Surgery | – | – | |
| 213E00000X | Podiatrist | – | – | |
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | – | – | |
| 207Q00000X | Family Medicine | – | – |
Practice location
3900 Kresge Way Ste 44Louisville, KY 40207-4681
Phone 812-945-5633
Mailing address
10689 N Pennsylvania St Ste 200Carmel, IN 46280-1099
Phone 317-580-6372
Authorized official
Mark R Benson
Interim Ceo/Medical Director
3175806304
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