Beverly M Gaines, MD & Associates, Psc

NPI #1265512719 in Louisville, Kentucky

Provider Information

NPI Number: 1265512719
Entity Type: Organization
Organization Name: Beverly M Gaines, MD & Associates, Psc
Primary Specialty: Pediatrics
Enumeration Date: Oct 17, 2006
Last Updated: Jan 31, 2019

Practice Location

Address: 801 BARRET AVE
Address 2: SUITE 314
City: Louisville
State: Kentucky
ZIP Code: 40204-1747
Phone: (502) 585-2924

Authorized Official

Name: BEVERLY M GAINES, M.D.
Title: PRESIDENT & CEO
Phone: (502) 585-2924

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Pediatrics	208000000X	Primary

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