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NPI 1053807206 · live from the CMS NPI Registry

Capitol Pain Of Kentucky, PLLC

Anesthesiology, Pain Medicine in Louisville, KY. National Provider Identifier 1053807206, active.

NPI record

NPI1053807206 Type 2 · organization
StatusActive
Primary specialtyAnesthesiology, Pain Medicine 207LP2900X
Practice location3841 Ruckriegel Pkwy Ste 104, Louisville, KY 40299
Practice phone512-467-7246
Mailing address7951 Shoal Creek Blvd, Austin, TX 78757
EnumeratedJuly 10, 2018
Last updatedJuly 10, 2018
Authorized officialPat Harrell, Revenue Cycle

Taxonomies and licenses

TaxonomyCodeLicense
Anesthesiology, Pain Medicine primary207LP2900X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.