Oak Street Health Physicians Group Of Kentucky, PLLC
Clinic/Center, Primary Care in Louisville, KY. Organization (NPI-2).
NPI number1467031997
StatusActive
Last updated in NPPESSep 2, 2026
Details
- NPI
- 1467031997
- Entity type
- Organization (NPI-2)
- Legal business name
- Oak Street Health Physicians Group Of Kentucky, PLLC
- Organization subpart
- No
- Enumeration date
- Apr 2, 2021
- Certification date
- Sep 2, 2026
- Last updated
- Sep 2, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
| 101YP2500X | Counselor, Professional | – | – | |
| 1041C0700X | Social Worker, Clinical | – | – | |
| 207Q00000X | Family Medicine | – | – | |
| 207R00000X | Internal Medicine | – | – | |
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | |
| 363L00000X | Nurse Practitioner | – | – | |
| 363LF0000X | Nurse Practitioner, Family | – | – |
Practice location
5743 Preston HwyLouisville, KY 40219-1305
Phone 502-444-6008 · Fax 502-586-7173
Mailing address
Po Box 740017Atlanta, GA 30374-0017
Phone 773-352-1515 · Fax 312-929-0373
Authorized official
Terrance Morton
Cmo
7406074835
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