Organization Active NPI

Wolf, Kahle, Yusk PSC

Doing business as Brownsboro Pediatrics

  • Pediatrics Physician
  • Louisville, KY
National Provider Identifier
1366502528
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
WOLF, KAHLE, YUSK PSC
Doing business as
Brownsboro Pediatrics
Practice address
4884 Brownsboro Rd
Louisville, KY 40207-2342
Phone
(502) 896-4459
Fax
(502) 896-1164
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Renita D Price, M.D.
Title
President of Corporation
Phone
(502) 896-4459

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

4884 Brownsboro Rd
Louisville, KY 40207-2342

Mailing address

4884 Brownsboro Rd
Louisville, KY 40207-2342
Phone (502) 896-4459

Other identifiers 1

IdentifierTypeStateIssuer
65900037MedicaidKY

Other names 1

  • Brownsboro Pediatrics Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1366502528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4884 BROWNSBORO RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402072342",
            "telephone_number": "502-896-4459",
            "fax_number": "502-896-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4884 BROWNSBORO RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402072342",
            "telephone_number": "502-896-4459",
            "fax_number": "502-896-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLF, KAHLE, YUSK PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "RENITA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "502-896-4459",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65900037",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brownsboro Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.