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Contact Information

TRI STATE UROLOGIC SERVICES PSC INC
350 THOMAS MORE PKWY STE 200
CRESTVIEW HILLS, KY41017-5460
 Phone: 859-363-2200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
 

Acute Care

363LA2100X 50 Nurse Practitioner
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Family

363LF0000X 50 Nurse Practitioner
 

Medical

363AM0700X 97 Physician Assistant
 

Non-Pharmacy Dispensing Site

332900000X 87 All Other Suppliers
 

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for TRI STATE UROLOGIC SERVICES PSC INC · (Female)

NPI Number 1275726580
Status Active
Credentials
Entity Individual
Enumeration date 08/20/2007
Last updated 03/09/2026 - About 3 months ago
Sole proprietor 1 Not specified
Identifiers
  • KY License # 26192
  • Other 2158101 PK
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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