NPI 1386008381 · live from the CMS NPI Registry
Dominique Elmore, DO
Pediatrics, Pediatric Emergency Medicine in Louisville, KY. National Provider Identifier 1386008381, active.
NPI record
| NPI | 1386008381 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Pediatric Emergency Medicine 2080P0204X |
| Practice location | 231 E Chestnut St, Louisville, KY 40202 |
| Practice phone | 502-629-6000 |
| Mailing address | Po Box 909, Louisville, KY 40201 |
| Enumerated | April 6, 2016 |
| Last updated | August 26, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Pediatrics, Pediatric Emergency Medicine primary | 2080P0204X | TP626 (KY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.