Provider Demographics
NPI:1427677160
Name:LOUISVILLE FAMILY CARE, PLLC
Entity type:Organization
Organization Name:LOUISVILLE FAMILY CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER/CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:502-233-8048
Mailing Address - Street 1:6610 BARDSTOWN RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40291-3045
Mailing Address - Country:US
Mailing Address - Phone:502-233-8048
Mailing Address - Fax:502-373-1288
Practice Address - Street 1:6610 BARDSTOWN RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40291-3045
Practice Address - Country:US
Practice Address - Phone:502-233-8048
Practice Address - Fax:502-373-1288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-13
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYMS3642990OtherDEA
KYMR3636682OtherDEA