NPI 1467436469 · live from the CMS NPI Registry
Cole S Condra, MD MSc
Pediatrics, Pediatric Emergency Medicine in Louisville, KY. National Provider Identifier 1467436469, active.
NPI record
| NPI | 1467436469 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 | December 2, 2005 |
| Last updated | October 27, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Pediatric Emergency Medicine | 2080P0204X | 04-32974 (KS) |
| Pediatrics | 208000000X | 04-32974 (KS) |
| Pediatrics, Pediatric Emergency Medicine primary | 2080P0204X | 38540 (KY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.