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Contact Information

KENTUCKY MSO, LLC
1140 LEXINGTON RD
GEORGETOWN, KY40324-9330
 Phone: 855-876-2412
 Fax: 502-570-5610
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Audiologist

231H00000X 64 Audiologist
 

Family

363LF0000X 50 Nurse Practitioner
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Neurology

2084N0400X 13 Physician/Neurology
 

Occupational Medicine

2083X0100X 84 Physician/Preventive Medicine
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for KENTUCKY MSO, LLC

NPI # 1679902340
LBN Legal business name KENTUCKY MSO, LLC
Authorized official MONICA BOWMAN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/04/2013
Last updated 01/24/2024 - About 2 years ago
Identifiers
KY Other K013930 MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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