New Source Medical, LLC
NPI #1700425816 in Louisville, Kentucky
Provider Information
- NPI Number
- 1700425816
- Entity Type
- Organization
- Organization Name
- New Source Medical, LLC
- Primary Specialty
- Podiatrist
- Enumeration Date
- Jan 6, 2020
- Last Updated
- Oct 6, 2020
Practice Location
- Address
- 9913 SHELBYVILLE RD STE 203
- City
- Louisville
- State
- Kentucky
- ZIP Code
- 40223-2907
- Phone
- (502) 261-0050
Authorized Official
- Name
- KEVIN A MCKIM
- Title
- CEO
- Phone
- (502) 261-0050
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Podiatrist |
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