NPI 1619908613
Kentuckiana Colon and Rectal Surgery, PLLC
Practice location
- Address
- 4121 Dutchmans Ln Suite 515, Louisville, KY 40207-4737
- Phone
- (502) 583-8005
Authorised official
- Name
- Wayne Tuckson
- Title
- Owner/Physician
- Phone
- (502) 583-8005
Registered specialties (2)
Colon & Rectal Surgery Physician
Primary
Nurse Practitioner
Registry record
- NPI
- 1619908613
- Entity type
- Organization
- NPI issued
- 6 Jul 2006
- Record last updated
- 13 Aug 2008
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.