Mark Alan Puckett, NPI 1649430794
Sports Medicine (Family Medicine) Physician in Louisville, KY, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1649430794
NPI Entity Type Individual
Provider Name Mark Alan Puckett
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 2400 Eastpoint Pkwy, Suite 110, Louisville, KY, US
Provider Mailing Address 5200 Commerce Crossing, 3rd Floor, Louisville, KY, US, 40229
Gender Male
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

207QS0010X

Taxonomy Name Sports Medicine (Family Medicine) Physician
Classification

Family Medicine

Group

Allopathic & Osteopathic Physicians

License No. 45394
License State KY
Description A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Business Address

Mark Alan Puckett
2400 Eastpoint Pkwy
Suite 110

Louisville, KY, US

Phone: 502-253-6699
Fax: 502-253-6670

Mailing Address

Mark Alan Puckett
5200 Commerce Crossing, 3rd Floor
Louisville, KY, US
ZIP 40229
Phone: 502-253-4924
Fax: 502-489-5750

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207Q00000X

Allopathic & Osteopathic Physicians

Family Medicine

45394 KY No

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
DIRECT [email protected] No 2400 Eastpoint Pkwy, Suite 110, Louisville, KY, US
DIRECT [email protected] No 2400 Eastpoint Pkwy, Suite 110, Louisville, KY, US

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1568107415

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Organization

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Organization

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D.O. William B Webb

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PA-C Brittney R. Judhan

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MD Brett E Jarrell

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APRN Danny Brent Newsome

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911 Bypass Rd Bldg A

Pikeville, KY

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DO John M Fleming

Individual

Family Medicine Physician

911 Bypass Rd Bldg A

Pikeville, KY

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