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Organization
KENTUCKIANA PREMIER PST CENTER, LLC
Active
Organization
KENTUCKIANA PREMIER PST CENTER, LLC
Active
Other names
KPTC
Organization subpart
No
Provider details
NPI number
Authorized official
TOM LUMLEY (CFO)
(502) 532-1811
Entity
Organization
Contact information
Practice address
605 N SHORE DR, STE 202, JEFFERSONVILLE, IN 47130-3134
(502) 532-1811
(502) 410-0445
Mailing address
605 N SHORE DR, STE 202, JEFFERSONVILLE, IN 47130-3134
(502) 532-1811
(502) 410-0445
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
NULL
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
03/21/2012
Last updated
03/21/2012
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