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WESTERN KENTUCKY UROLOGICAL ASSOCIATES PSC NPI 1356394639


NPI Information

NPI: 1356394639
Provider Name: WESTERN KENTUCKY UROLOGICAL ASSOCIATES PSC
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 18D1098184

Address:
1029 MEDICAL CENTER CIR
SUITE 200
MAYFIELD, KY
ZIP 42066
Phone: (270) 251-4545
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WESTERN KENTUCKY UROLOGICAL ASSOCIATES PSC is an urology in Mayfield, KY. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. WESTERN KENTUCKY UROLOGICAL ASSOCIATES PSC NPI is 1356394639. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1029 MEDICAL CENTER CIR
SUITE 200
MAYFIELD, KY
ZIP 42066-189
Phone: (270) 251-4545
Fax: (270) 251-4546

The provider's authorized official is Christopher G Stanczyk .
The authorized official title is Physician/owner and has the following contact phone number (270) 251-4545.

The CLIA number assigned to this NPI record is 18D1098184 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 10/25/2011.


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
1208800000XUrology02839KENTUCKYYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11955601MEDICARE PINKENTUCKY

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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