KENTUCKIANA PAIN SPECIALIST AMBULATORY SURGERY CENTER NPI 1083124366

NPI Information

KENTUCKIANA PAIN SPECIALIST AMBULATORY SURGERY CENTER is an ambulatory surgical clinic center in Louisville, KY. KENTUCKIANA PAIN SPECIALIST AMBULATORY SURGERY CENTER NPI is 1083124366. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Kps Ambulatory Surgery Center.

The provider's business location address is:

3710 CHAMBERLAIN LN STE B
LOUISVILLE, KY
ZIP 40241-002
Phone: (502) 995-4004
Fax: (502) 933-5559

The provider's authorized official is Ajith Nair .
The authorized official title is Medical Director and has the following contact phone number (502) 995-4004.

The CLIA number assigned to this NPI record is 18D1106122 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/2/2017 and was last updated on 10/21/2021.

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:

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