NPI 1902287832

Body Shape Medical

Organisation Health Maintenance Organization Louisville, KY

Practice location

Address: 4211 Springhurst Blvd, Louisville, KY 40241-6161
Phone: (502) 638-4906

Authorised official

Name: Elizabeth Bates
Title: Medical Director
Phone: (502) 638-4906

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 3009403 (KY)

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Registry record

NPI: 1902287832
Entity type: Organization
NPI issued: 16 Jun 2015
Record last updated: 16 Jun 2015

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.