KENTUCKY CENTER FOR REGENERATIVE MEDICINE, LLC (NPI# 1952940215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952940215 |
| Entity Type | Organization |
| Organization Name | KENTUCKY CENTER FOR REGENERATIVE MEDICINE, LLC |
| Practice Address |
4010 Dupont Cir Ste 203 Louisville KY 40207-4847 |
| Mailing Address |
148 Golf Crest Dr Acworth GA 30101-5968 |
| Practice Telephone | 5022513600 |
| Mailing Telephone | 8027349455 |
| Mailing Fax Number | 6785745605 |
| Enumeration Date | 2020-01-03 |
| Last Update Date | 2020-03-03 |
| Authorized Official Name | DR. SANDRA GEILE (CLINIC DIRECTOR) |
| Authorized Official Telephone | 5022513600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
4010 DUPONT CIR STE 203 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40207-4847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780212688 | Alexia Louise Bodamer | Student in an Organized Health Care Education/Training Program | 142 Chenoweth Lane, Lousiville, KY 40207 | 2020-03-28 |
| 1467918664 | Amy Rock LLC | Counselor | 4010 Dupont Cir Ste 307, Louisville, KY 40207 | 2019-02-13 |
| 1649745191 | Louisville Optometric Center, IIi, Psc | Optometrist | 285 Hubbards Lane, Suite 300, Louisville, KY 40207 | 2018-10-11 |
| 1184137440 | Crimson Dove Counseling Services Inc | Community/Behavioral Health | 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 | 2017-11-09 |
| 1285157586 | Dickerson Family Enterprise, LLC | Non-emergency Medical Transport (VAN) | 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 | 2017-07-19 |
| 1578085296 | Cardiovascular Medical Specialists LLC | Surgery | 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 | 2017-07-14 |
| 1932636305 | Devon Turley | Prevention Professional | 1017 Dupont Rd, Suite 1, Louisville, KY 40207 | 2017-05-17 |
| 1285095539 | Emily Schwartz Crouch | Marriage & Family Therapist | 4010 Dupont Circle, Suite 582, Louisville, KY 40207 | 2016-03-15 |
| 1306201280 | A A and Associates Approved Alcohol/drug Program | Counselor | 4006 Dutchmans Lane, Louisville, KY 40207 | 2015-12-21 |
| 1629433693 | Jewish Hospital and St. Mary's Healthcare, Inc. | General Acute Care Hospital | 3290 Dutchmans Lane, Louisville, KY 40207 | 2015-12-17 |
| Find all providers in zip 40207 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1962036210 | Emerge Rehab & Wellness,llc | Clinic/Center | 3501 Fenwick Park Pl Apt F, Louisville, KY 40220-5844 | 2020-02-25 |
| 1497227060 | Quality Urgent Care Professional Corporation | Clinic/Center | 1335 E South Boulder Rd Ste C, Louisville, CO 80027-2304 | 2018-12-20 |
| 1700313293 | Complete Laser Clinic of Louisville, LLC | Clinic/Center | 3000 Fern Valley Rd, Louisville, KY 40213-3522 | 2017-05-16 |
| 1356898373 | Baptist Health Employer Solutions, Inc | Clinic/Center | 2501 Nelson Miller Pkwy Ste 102, Louisville, KY 40223-2221 | 2016-09-07 |
| 1548877491 | Crossover Health Medical Group | Clinic/Center | 4813 Dixie Hwy, Louisville, KY 40216-2503 | 2020-09-24 |
| 1093341497 | Uofl Health-louisville Inc | Clinic/Center | 3920 Dutchmans Ln, Louisville, KY 40207-4020 | 2020-03-17 |
| 1144856543 | Uofl Health-louisville Inc | Clinic/Center | 2401 Terra Crossing Blvd, Louisville, KY 40245-5371 | 2020-03-17 |
| 1699308452 | Boulder Medical Center, P.C. | Clinic/Center | 80 Health Park Dr Ste 100, Louisville, CO 80027-4644 | 2020-02-19 |
| 1780101873 | Prorehab of Louisville LLC | Clinic/Center | 8019 Dixie Hwy Ste 106, Louisville, KY 40258-1303 | 2017-08-29 |
| 1093250359 | Prorehab Louisville | Clinic/Center | 3052 Bardstown Rd, Louisville, KY 40205-3020 | 2016-12-22 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40207 |
Please comment or provide details below to improve the information on KENTUCKY CENTER FOR REGENERATIVE MEDICINE, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.