Rwasa Sylvester
Individual provider Active NPI Driver · Louisville, KY
NPI 1467065136 · NPPES record last updated Aug 24, 2020
Key facts
- NPI
- 1467065136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- R07648686 (KY)
- Practice address
- 1024 Walter Ave
Louisville, KY 40215-2334 - Phone
- (502) 291-0617
- NPI assigned
- Aug 24, 2020
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R07648686 | KY | MD | Driver |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | R07648686 | KY | Yes |
Addresses
Primary practice location
1024 Walter Ave
Louisville, KY 40215-2334
Mailing address
1024 Walter Ave
Louisville, KY 40215-2334
Phone (502) 291-0617
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.