Active NPI
Wolf, Kahle, Yusk PSC
Doing business as Brownsboro Pediatrics
- Pediatrics Physician
- Louisville, KY
National Provider Identifier
1366502528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65900037 | Medicaid | KY |
Other names 1
- Brownsboro Pediatrics
National Provider Directory
National Provider DirectoryNPI 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.