KENTUCKIANA SURGICAL SPECIALISTS PSC NPI 1033140579

NPI Information

KENTUCKIANA SURGICAL SPECIALISTS PSC is a specialist in Louisville, KY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. KENTUCKIANA SURGICAL SPECIALISTS PSC NPI is 1033140579. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3900 KRESGE WAY
44
LOUISVILLE, KY
ZIP 40207-660
Phone: (502) 897-6700
Fax: (502) 897-6704

The provider's authorized official is Kristin M Miracle .
The authorized official title is Office Manager and has the following contact phone number (502) 897-6700.

The enumeration date for this NPI number is 7/5/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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