NPI 1043576572

East Louisville Interventional Pain Specialists, PLLC

Organisation Pain Medicine (Anesthesiology) Physician Louisville, KY

Practice location

Address: 4203 Springhurst Blvd Suite 101, Louisville, KY 40241-6140
Phone: (502) 836-1171
Mailing address: 4205 Springhurst Blvd Suite 101, Louisville, KY 40241-6158

Authorised official

Name: Bill Haney
Title: Owner
Phone: (502) 836-1171

Registered specialties (3)

Pain Medicine (Anesthesiology) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207LP2900X

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Clinical Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TC0700X

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Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X

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Registry record

NPI: 1043576572
Entity type: Organization
NPI issued: 10 Apr 2012
Record last updated: 3 Jan 2017

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.