Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

University Pediatric Rheumatology of Kentucky LLC

Organization Pediatric Rheumatology Physician · NPI 1619169612

University Pediatric Rheumatology of Kentucky LLC provides Pediatric Rheumatology Physician services in Louisville, Kentucky. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

210 E Gray St Ste 1000
Louisville, KY 40202-3906 Not confirmed with CMS for 18 years — call before visiting
Phone: (502) 629-7702
Fax: (502) 629-3975
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Rheumatology Physician (primary) Taxonomy 2080P0216X

Record details

NPI number1619169612
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gerard Rabalais — Chairman · (502) 852-8600
NPI enumeratedAugust 14, 2007
Last updated in NPPESJuly 23, 2008
Mailing addressPo Box 2469, Louisville, KY 40201-2469

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