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NPI Profile for PRESCOTT PLASTIC SURGERY MED SPA PLLC in LOUISVILLE, KY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Plastic and Reconstructive Surgery |
2086S0122X | 02 | Physician/General Surgery |
| NPI Number | 1124125497 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 09/20/2006 | |
| Last updated | 11/19/2025 - About 7 months ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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PRESCOTT PLASTIC SURGERY & MED SPA PLLC
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| TATHYANA M FENSTERER, MD 2507 BUSH RIDGE DR STE B LOUISVILLE, KY |
| MICHAEL J EDWARDS, MD 10207 GARLANREID PLACE LOUISVILLE, KY |
| JEFFREY N SHARPE, MD 9880 ANGIES WAY LOUISVILLE, KY |
| NANA N MIZUGUCHI, MD 2341 LIME KILN LANE LOUISVILLE, KY |
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| W S JONES, MD 3950 KRESGE WAY LOUISVILLE, KY |
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| ROBERT E DARNELL, MD 4123 DUTCHMANS LN LOUISVILLE, KY |
PRESCOTT PLASTIC SURGERY & MED SPA PLLC