Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK ALAN PUCKETT
ActiveMARK ALAN PUCKETT is a Sports Medicine healthcare provider located in LOUISVILLE, Kentucky. NPI 1649430794 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · LOUISVILLE, KY
Registration Details
- NPI Number
- 1649430794
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 12, 2008 (18.127941946244 yrs)
- Last Updated
- Dec 17, 2020
- Licenses
-
45394 (KY)45394 (KY)
Practice Information
- Address
-
2400 EASTPOINT PKWYSUITE 110LOUISVILLE, KY, 402234154Browse KY providers · Browse ZIP 40223
- Phone
- 5022536699
- Fax
- 5022536670
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Sports Medicine
Other Sports Medicine Providers in LOUISVILLE, KY
| Name | Credential | NPI |
|---|---|---|
| GREGORY J. POTTS | M.D. | 1336182450 |
| DR. RYAN EDWARD MODLINSKI | M.D. | 1114953817 |
| DR. PAUL B MCKEE IV | M.D. | 1770609125 |
| JEFFREY STUART STEPHENSON | MD | 1366617078 |
| DR. ROBIN GAULT CURRY | M.D. | 1033406533 |
| DR. NEIL MAHADEV PATIL | M.D. | 1144596164 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.