NPI 1033140579

Kentuckiana Surgical Specialists Psc

Organisation Specialist Louisville, KY

Practice location

Address: 3900 Kresge Way STE 44, Louisville, KY 40207-4681
Phone: (502) 897-6700
Fax: (502) 897-6704
Mailing address: 3900 Kresge Way Suite 44, Louisville, KY 40207-4660

Authorised official

Name: Kevin a O'Koon
Title: Owner
Phone: (502) 897-6700

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1033140579
Entity type: Organization
NPI issued: 5 Jul 2006
Record last updated: 13 Dec 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.