Whalio Doctors

NPI 1619908613

Kentuckiana Colon and Rectal Surgery, PLLC

Organisation Colon & Rectal Surgery Physician Louisville, KY

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
Allopathic & Osteopathic Physicians Taxonomy 208C00000X Licence 30849 (KY)
Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X

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.