Active NPI
H. Michael Khoury, MD,LLC
Doing business as Rainbow Pediatrics
- Pediatrics Physician
- Bardstown, KY
National Provider Identifier
1629273040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 34774
- Legal business name
- H. MICHAEL KHOURY, MD,LLC
- Doing business as
- Rainbow Pediatrics
- Practice address
- 107 Manor Ave Ste 205
Bardstown, KY 40004-2800 - Phone
- (502) 349-6641
- Fax
- (502) 349-6642
- NPI assigned
- Jun 16, 2007
- 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. Habib Michael Khoury, M.D
- Title
- President
- Phone
- (502) 349-6641
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 34774 | KY | Primary |
Addresses
Primary practice location
107 Manor Ave Ste 205
Bardstown, KY 40004-2800
Mailing address
PO Box 43534
Louisville, KY 40253-0534
Phone (502) 349-6641
Other names 1
- Rainbow Pediatrics
National Provider Directory
National Provider DirectoryLocations
107 Manor Ave
Ste 205
Bardstown, KY 40004
Phone (502) 349-6641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181952000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709856000000",
"number": "1629273040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 43534",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402530534",
"telephone_number": "502-349-6641",
"fax_number": "502-349-6642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 MANOR AVE STE 205",
"city": "BARDSTOWN",
"state": "KY",
"postal_code": "400042800",
"telephone_number": "502-349-6641",
"fax_number": "502-349-6642"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "H. MICHAEL KHOURY, MD,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-16",
"last_updated": "2024-03-08",
"certification_date": "2024-03-08",
"status": "A",
"authorized_official_last_name": "KHOURY",
"authorized_official_first_name": "HABIB",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "502-349-6641",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "KY",
"license": "34774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Rainbow Pediatrics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bardstown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.