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Contact Information

LANDMARK UROLOGY PSC
103 S BRADFORD LN
SUITE 101
GEORGETOWN, KY40324-2336
 Phone: 502-868-9748
 Fax: 502-868-9749
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for LANDMARK UROLOGY PSC · (Female)

NPI Number 1619171030
Status Active
Credentials
Entity Individual
Enumeration date 06/11/2007
Last updated 01/30/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • KY License # 41104
  • KY Medicaid 7100018160
  • Other 1801090220 NPI INDIVIDUAL
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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