Provider Demographics
NPI:1396138202
Name:LOUISVILLE CARDIOVASCULAR CARE PLLC
Entity type:Organization
Organization Name:LOUISVILLE CARDIOVASCULAR CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:J
Authorized Official - Last Name:KRAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:502-425-5614
Mailing Address - Street 1:1411 HADLEIGH PL
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40222-5652
Mailing Address - Country:US
Mailing Address - Phone:502-425-5614
Mailing Address - Fax:502-425-5633
Practice Address - Street 1:1411 HADLEIGH PL
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40222-5652
Practice Address - Country:US
Practice Address - Phone:502-425-5614
Practice Address - Fax:502-425-5633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-17
Last Update Date:2015-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty