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NPI Verification

National Provider Identifier: 1104183953

First Urology, Psc

Organization

Primary Specialty

Urology

Code: 208800000X

All Specialties (3)

Code: 2085R0001X

Nurse Practitioner

Code: 363L00000X

Urology

Code: 208800000X

Primary

Practice Address

3920 S DUPONT SQ

LOUISVILLE, KY 402074615

Phone: 502-721-0116

NPI Enumeration Date

April 18, 2012

NPI Number

1104183953

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry