Provider Demographics
NPI:1972728186
Name:MERIWETHER, LOUIS GREGORY JR (MD)
Entity type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:GREGORY
Last Name:MERIWETHER
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 950248
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40295-0248
Mailing Address - Country:US
Mailing Address - Phone:502-489-5730
Mailing Address - Fax:502-489-5753
Practice Address - Street 1:3900 KRESGE WAY
Practice Address - Street 2:SUITE 60
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4660
Practice Address - Country:US
Practice Address - Phone:502-893-7710
Practice Address - Fax:502-893-1884
Is Sole Proprietor?:No
Enumeration Date:2007-04-14
Last Update Date:2015-01-26
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Provider Licenses
StateLicense IDTaxonomies
KY40161207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100082330Medicaid
IN200963720AMedicaid
KY00546232Medicare Oscar/Certification
KYI 29570Medicare UPIN
KY7100082330Medicaid