Provider Demographics
NPI:1003077496
Name:CODE, CINDY J (MD)
Entity Type:Individual
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First Name:CINDY
Middle Name:J
Last Name:CODE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2600 STANLEY GAULT PARKWAY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40223
Mailing Address - Country:US
Mailing Address - Phone:502-238-2801
Mailing Address - Fax:502-238-2835
Practice Address - Street 1:3950 KRESGE WAY
Practice Address - Street 2:SUITE 303
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207
Practice Address - Country:US
Practice Address - Phone:502-896-1880
Practice Address - Fax:502-896-1887
Is Sole Proprietor?:No
Enumeration Date:2008-06-19
Last Update Date:2009-11-19
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Provider Licenses
StateLicense IDTaxonomies
KY40855207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY3529187000OtherPASSPORT ADVANTAGE
KY7100052040Medicaid
KY50019697OtherPASSPORT
KY50019697OtherPASSPORT