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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 Specialty Code Provider Type

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
Indicates primary specialty

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

NPI Number 1124125497
LBN Legal business name PRESCOTT PLASTIC SURGERY & MED SPA PLLC
Authorized official ANGELA PRESCOTT - (OWNER/ PROVIDER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/20/2006
Last updated 11/19/2025 - About 7 months ago
Identifiers
KY Other DD3586 RR MCR
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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