Kentucky Mso LLC
NPI #1710252622 in Georgetown, Kentucky
Provider Information
- NPI Number
- 1710252622
- Entity Type
- Organization
- Organization Name
- Kentucky Mso LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 12, 2012
- Last Updated
- Mar 12, 2012
Practice Location
- Address
- 1138 LEXINGTON RD
- Address 2
- SUITE 130
- City
- Georgetown
- State
- Kentucky
- ZIP Code
- 40324-9672
- Phone
- (502) 867-0420
Authorized Official
- Name
- TIMOTHY D VAUGHN
- Title
- VICE PRESIDENT
- Phone
- (615) 372-8500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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