Kentucky Mso LLC
NPI #1093051807 in Georgetown, Kentucky
Provider Information
- NPI Number
- 1093051807
- Entity Type
- Organization
- Organization Name
- Kentucky Mso LLC
- Primary Specialty
- Internal Medicine - Interventional Cardiology
- Enumeration Date
- Dec 26, 2012
- Last Updated
- Mar 2, 2023
Practice Location
- Address
- 1154 LEXINGTON RD
- City
- Georgetown
- State
- Kentucky
- ZIP Code
- 40324-9330
- Phone
- (502) 863-3329
Authorized Official
- Name
- MONICA BOWMAN
- Title
- VICE PRESIDENT
- Phone
- (615) 920-7000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
| Internal Medicine - Cardiovascular Disease — Cardiovascular Disease |
| Physician Assistant |
| Nurse Practitioner - Family — Family |
| Internal Medicine - Interventional Cardiology — Interventional Cardiology |
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