NPI 1720743917

Commonwealth Pain Associates PLLC

Organisation Non-Pharmacy Dispensing Site Louisville, KY

Practice location

Address: 120 Executive Park, Louisville, KY 40207-4201
Phone: (502) 855-7200
Fax: (502) 855-7201

Authorised official

Name: Stephen Young
Title: MD
Phone: (502) 855-7200

Registered specialties (2)

Non-Pharmacy Dispensing Site Primary

Suppliers Taxonomy 332900000X

Other Non-Pharmacy Dispensing Site providers in Kentucky →

Interventional Pain Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X

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Registry record

NPI: 1720743917
Entity type: Organization
NPI issued: 3 Nov 2021
Record last updated: 3 Nov 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.