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Contact Information

LANDMARK UROLOGY PSC
103 S BRADFORD LN
SUITE 101
GEORGETOWN, KY40324-2336
 Phone: 502-868-9748
 Fax: 502-868-9749
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for LANDMARK UROLOGY PSC

NPI # 1619171030
LBN Legal business name LANDMARK UROLOGY PSC
Authorized official AMBERLY WINDISCH - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/11/2007
Last updated 01/30/2013 - About 13 years ago
Identifiers
KY License # 41104
KY Medicaid 7100018160
Other 1801090220 NPI INDIVIDUAL
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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