NPI 1083731277

Premier Ent and Allergy, PLLC

Organisation Otolaryngology Physician Louisville, KY

Practice location

Address: 2429 Bush Ridge Dr STE 103, Louisville, KY 40245-5914
Phone: (502) 893-3683

Authorised official

Name: Carl David Coppola
Title: Owner
Phone: (502) 893-3683

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 28995 (KY)

Other Otolaryngology providers in Kentucky →

Registry record

NPI: 1083731277
Entity type: Organization
NPI issued: 23 Mar 2007
Record last updated: 10 Jan 2020

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.