NPI 1023400629
Community Medical Associates, INC
Practice location
- Address
- 4803 Olympia Park Plz STE 1100, Louisville, KY 40241-3068
- Phone
- (502) 588-9490
- Fax
- (502) 272-5339
- Mailing address
- PO Box 776351, Chicago, IL 60677-6351
Authorised official
- Name
- Shelley Gast
- Title
- Vp Managed Care
- Phone
- (502) 588-9490
Registered specialties (2)
Occupational Medicine Physician
Primary
Nurse Practitioner
Registry record
- NPI
- 1023400629
- Entity type
- Organization
- NPI issued
- 19 Feb 2015
- Record last updated
- 21 Sep 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.