Kentucky Lake Urology Clinic

NPI #1528025574 in Paris, Tennessee

Provider Information

NPI Number: 1528025574
Entity Type: Organization
Organization Name: Kentucky Lake Urology Clinic
Primary Specialty: Urology
Enumeration Date: Apr 26, 2006
Last Updated: Jan 22, 2013

Practice Location

Address: 1002 CORNERSTONE DR
Address 2: STE A
City: Paris
State: Tennessee
ZIP Code: 38242
Phone: (731) 642-8884

Authorized Official

Name: MRS. LEIGH M HORTON
Title: ASST OFFICE MANAGER
Phone: (731) 642-8884

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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