Kentucky Mso LLC
NPI #1164867883 in Georgetown, Kentucky
Provider Information
- NPI Number
- 1164867883
- Entity Type
- Organization
- Organization Name
- Kentucky Mso LLC
- Primary Specialty
- Internal Medicine - Gastroenterology
- Enumeration Date
- May 8, 2013
- Last Updated
- Apr 21, 2023
Practice Location
- Address
- 1138 LEXINGTON RD
- Address 2
- SUITE 140
- City
- Georgetown
- State
- Kentucky
- ZIP Code
- 40324-9672
- Phone
- (502) 570-3721
Authorized Official
- Name
- MONICA BOWMAN
- Title
- CORPORATE SECRETARY
- Phone
- (615) 920-7000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
| Physician Assistant |
| Nurse Practitioner |
| Nurse Practitioner - Family — Family |
| Internal Medicine - Gastroenterology — Gastroenterology |
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