KENTUCKY MSO LLC NPI 1679902340

NPI Information

NPI: 1679902340
Provider Name: KENTUCKY MSO, LLC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
1140 LEXINGTON RD
GEORGETOWN, KY
ZIP 40324
Phone: (855) 876-2412
Get Directions

KENTUCKY MSO, LLC is a cardiovascular disease internal medicine in Georgetown, KY. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. KENTUCKY MSO, LLC NPI is 1679902340. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1140 LEXINGTON RD
GEORGETOWN, KY
ZIP 40324-330
Phone: (855) 876-2412
Fax: (502) 570-5610

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

The enumeration date for this NPI number is 11/4/2013 and was last updated on 1/24/2024.

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	Primary
1	207Q00000X	Family Medicine		No
2	207RG0100X	Internal Medicine	Gastroenterology	No
3	207RH0003X	Internal Medicine	Hematology & Oncology	No
4	207RP1001X	Internal Medicine	Pulmonary Disease	No
5	207X00000X	Orthopaedic Surgery		No
6	2083X0100X	Preventive Medicine	Occupational Medicine	No
7	363A00000X	Physician Assistant		No
8	363LF0000X	Nurse Practitioner	Family	No
9	2084N0400X	Psychiatry & Neurology	Neurology	No
10	2085R0001X	Radiology	Radiation Oncology	No
11	208600000X	Surgery		No
12	208VP0000X	Pain Medicine	Pain Medicine	No
13	231H00000X	Audiologist		No
14	207RC0000X	Internal Medicine	Cardiovascular Disease	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	K013930	OTHER	KENTUCKY	MEDICARE

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: 5/5/2024

NPI Synchronization or Removal

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