Commonwealth Pain Associates PLLC
Durable Medical Equipment & Medical Supplies in Carrollton, KY. Organization (NPI-2).
NPI number1982184925
StatusActive
Last updated in NPPESAug 20, 2018
Details
- NPI
- 1982184925
- Entity type
- Organization (NPI-2)
- Legal business name
- Commonwealth Pain Associates PLLC
- Organization subpart
- No
- Enumeration date
- Aug 20, 2018
- Last updated
- Aug 20, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Other names
- Commonwealth Pain & Spine (Doing Business As)
Practice location
309 11th StCarrollton, KY 41008-1435
Phone 502-855-7200 · Fax 502-855-7201
Mailing address
120 Executive ParkLouisville, KY 40207-4201
Phone 502-907-0356 · Fax 502-919-9780
Authorized official
Jason Carnes Lewis
Owner
5028553919
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