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KENTUCKY MSO LLC NPI 1164867883


NPI Information

NPI: 1164867883
Provider Name: KENTUCKY MSO LLC

Doing Business As: GASTROENTEROLOGY AND HEPATOLOGY OF THE BLUEGRASS

Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

CLIA Number: 18D2151317

Address:
1138 LEXINGTON RD
SUITE 140
GEORGETOWN, KY
ZIP 40324
Phone: (502) 570-3721
Get Directions

KENTUCKY MSO LLC is a gastroenterology internal medicine in Georgetown, KY. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. KENTUCKY MSO LLC NPI is 1164867883. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Gastroenterology And Hepatology Of The Bluegrass.

The provider's business location address is:

1138 LEXINGTON RD
SUITE 140
GEORGETOWN, KY
ZIP 40324-672
Phone: (502) 570-3721
Fax: (502) 570-3722

The provider's authorized official is Monica Bowman .
The authorized official title is Corporate Secretary and has the following contact phone number (615) 920-7000.

The CLIA number assigned to this NPI record is 18D2151317 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/8/2013 and was last updated on 4/21/2023.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2363A00000XPhysician AssistantNo
3363L00000XNurse PractitionerNo
4363LF0000XNurse PractitionerFamilyNo
5207RG0100XInternal MedicineGastroenterologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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