Central Kentucky Surgical Services LLC

NPI #1689701997 in Campbellsville, Kentucky

Provider Information

NPI Number
1689701997
Entity Type
Organization
Organization Name
Central Kentucky Surgical Services LLC
Primary Specialty
Nurse Practitioner
Enumeration Date
Feb 27, 2007
Last Updated
Aug 17, 2007

Practice Location

Address
1700 OLD LEBANON RD
ZIP Code
42718-9615
Phone
(270) 465-2521

Authorized Official

Name
SUSAN A. SHIVELY
Title
OWNER
Phone
27014652521

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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