Central Kentucky Surgeons, Psc

NPI #1114079555 in Danville, Kentucky

Provider Information

NPI Number: 1114079555
Entity Type: Organization
Organization Name: Central Kentucky Surgeons, Psc
Primary Specialty: Surgery
Enumeration Date: Jan 17, 2007
Last Updated: May 31, 2017

Practice Location

Address: 130 DANIEL DR
City: Danville
State: Kentucky
ZIP Code: 40422-2527
Phone: (859) 236-2222

Authorized Official

Name: DR. JOHN H. LACY, M.D.
Title: PRESIDENT
Phone: (859) 236-2222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Surgery	208600000X	Primary

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