An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hematology & Oncology |
207RH0003X | 11 | Physician/Internal Medicine | |
Physician Assistant |
363A00000X | 97 | Physician Assistant |
| 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 |
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KENTUCKY MSO LLC
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