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Contact Information

COMMONWEALTH PLASTIC SURGERY, PLLC
715 SHAKER DR STE 100
LEXINGTON, KY40504-3674
 Phone: 859-277-9435
 Fax: 859-277-8852
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for COMMONWEALTH PLASTIC SURGERY, PLLC

NPI # 1952720880
LBN Legal business name COMMONWEALTH PLASTIC SURGERY, PLLC
Authorized official JARED NIMTZ - (MANAGING PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/08/2014
Last updated 10/17/2018 - About 8 years ago
Identifiers
KY License # 46515
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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