National Provider Identifier Database

PRESCOTT PLASTIC SURGERY MED SPA PLLC
Plastic and Reconstructive Surgery


Contact Information

PRESCOTT PLASTIC SURGERY & MED SPA PLLC
2507 BUSH RIDGE DR STE B
LOUISVILLE, KY40245-5885
Phone: 502-589-8000
Fax: 502-589-8001
Website:
Specialty Taxonomy Code
* Plastic and Reconstructive Surgery 2086S0122X

* Indicates primary specialty

NPI Profile & details for PRESCOTT PLASTIC SURGERY & MED SPA PLLC

NPI Number 1124125497
Legal business name
LBN
PRESCOTT PLASTIC SURGERY & MED SPA PLLC
Authorized official ANGELA PRESCOTT - (OWNER/ PROVIDER)
Entity Organization
Organization subpart No
Enumeration date 09/20/2006
Last updated 11/19/2025 - About 7 months ago
Sole proprietor1 Not specified
Identifiers
  • KY Other: DD3586 RR MCR

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.

Reviews for PRESCOTT PLASTIC SURGERY & MED SPA PLLC

There are currently no reviews for PRESCOTT PLASTIC SURGERY & MED SPA PLLC


NPIdb - Home
v2.201