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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CLEANSLATE MEDICAL GROUP OF KENTUCKY PLLC

Active Organization

CLEANSLATE MEDICAL GROUP OF KENTUCKY PLLC is a Addiction Medicine (Internal Medicine) organization located in LOUISVILLE, Kentucky. NPI 1538600630 is currently active in the NPPES registry. Verify at CMS.

Addiction Medicine (Internal Medicine) · LOUISVILLE, KY

Registration Details

NPI Number
1538600630
Provider Type
Organization
NPI Issued
Mar 9, 2017 (9.4178491693298 yrs)
Last Updated
Dec 17, 2025

Practice Information

Address
6801 DIXIE HWY STE 132
LOUISVILLE, KY, 402583952
Browse KY providers · Browse ZIP 40258
Phone
5026572701
Fax
8332797074
Primary Specialty
Addiction Medicine (Internal Medicine)
207RA0401X

Other Addiction Medicine (Internal Medicine) Organizations in LOUISVILLE, KY

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.