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Organization
AESTHETIC PLASTIC SURGERY INSTITUTE OF LOUISVILLE, LLC
Active
Organization
AESTHETIC PLASTIC SURGERY INSTITUTE OF LOUISVILLE, LLC
Active
Other names
Louisville Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARK EDWARD CHARIKER M.D. (MEDICAL DIRECTOR)
(502) 568-4800
Entity
Organization
Contact information
Practice address
444 S 1ST ST, SUITE 201, LOUISVILLE, KY 40202-1416
(502) 238-2888
(502) 238-2897
Mailing address
444 S 1ST ST, SUITE 201, LOUISVILLE, KY 40202-1416
(502) 238-2888
(502) 238-2897
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
300168
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000357022
ANTHEM
KY
05
—
36001360
—
KY
01
—
50006214
PASSPORT
KY
Enumeration date
08/22/2006
Last updated
08/22/2020
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