Western Kentucky Urological Associates Psc

NPI #1356394639 in Mayfield, Kentucky

Provider Information

NPI Number: 1356394639
Entity Type: Organization
Organization Name: Western Kentucky Urological Associates Psc
Primary Specialty: Urology
Enumeration Date: May 18, 2006
Last Updated: Oct 25, 2011

Practice Location

Address: 1029 MEDICAL CENTER CIR
Address 2: SUITE 200
City: Mayfield
State: Kentucky
ZIP Code: 42066-1189
Phone: (270) 251-4545

Authorized Official

Name: CHRISTOPHER G STANCZYK, MD
Title: PHYSICIAN/OWNER
Phone: (270) 251-4545

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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