KENTUCKY MSO LLC NPI 1164867883

NPI Information

  • NPI: 1164867883
  • Provider Name: KENTUCKY MSO LLC
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Organization
  • Doing Business As: GASTROENTEROLOGY AND HEPATOLOGY OF THE BLUEGRASS
  • CLIA Number: 18D2151317
  • Address: 1138 LEXINGTON RD
    SUITE 140
    GEORGETOWN, KY
    ZIP 40324
  • Phone: (502) 570-3721

Map and Directions

Get Directions

NPI Details

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI