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Contact Information

PENNYRILE UROLOGY PSC
219 W 17TH ST
HOPKINSVILLE, KY42240-1911
 Phone: 270-886-5141
 Fax: 270-885-1877
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for PENNYRILE UROLOGY PSC

NPI Number 1992729529
LBN Legal business name PENNYRILE UROLOGY PSC
Authorized official HUGH DOUGHERTY - (PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/27/2006
Last updated 09/05/2007 - About 19 years ago
Identifiers
KY Medicaid 65910036
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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