Chandler Albright

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Louisville, KY

NPI 1760124804 · NPPES record last updated Mar 26, 2024

Key facts

NPI
1760124804
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
500 S Preston St RM 305
Louisville, KY 40202-1702
Phone
(606) 309-5816
NPI assigned
Apr 9, 2022
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20250722002223 KY Order and Referring Only - Internal Medicine
Practitioner - Internal Medicine
2769998285

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

500 S Preston St RM 305
Louisville, KY 40202-1702

Mailing address

500 S Preston St RM 305
Louisville, KY 40202-1702

Other providers in Louisville, KY

All providers in Louisville, KY · Student in an Organized Health Care Education/Training Program in Kentucky

Sources for this page

Verify at the official NPI Registry.