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Contact Information

KENTUCKY MSO LLC
1140 LEXINGTON RD
SUITE 202
GEORGETOWN, KY40324-9330
 Phone: 502-868-5603
 Fax: 502-868-5612
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KENTUCKY MSO LLC

NPI # 1336483957
LBN Legal business name KENTUCKY MSO LLC
Authorized official KATHY TEAGUE - (CORPORATE SECRETARY)
Entity Organization
Organization subpart 1 No
Enumeration date 11/20/2012
Last updated 09/22/2020 - About 6 years ago
Identifiers n/a
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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