NPI 1396708244 · live from the CMS NPI Registry
Otis Christopher Colvin, M.D.
Radiology, Diagnostic Radiology in Louisville, KY. National Provider Identifier 1396708244, active.
NPI record
| NPI | 1396708244 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 530 S Jackson St Ste C07, Louisville, KY 40202 |
| Practice phone | 502-852-5875 |
| Mailing address | Po Box 909, Louisville, KY 40201 |
| Enumerated | April 11, 2006 |
| Last updated | June 16, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology | 2085R0202X | 35-126232 (OH) |
| Radiology, Diagnostic Radiology primary | 2085R0202X | 44977 (KY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.