# TRI STATE UROLOGIC SERVICES PSC INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275450389
- **Authorized official:** MICHAEL GALVIN (CEO)
- **Authorized official phone:** (513) 841-7400

## Contact information

- **Practice address:** 350 THOMAS MORE PKWY STE 200B, CRESTVIEW HILLS, KY 41017-5460
- **Practice address phone:** (859) 363-2200
- **Practice address fax:** (859) 363-2201
- **Mailing address:** PO BOX 738291, DALLAS, TX 75373-8291
- **Mailing address phone:** (859) 363-2200
- **Mailing address fax:** (859) 363-2201

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/30/2026
- **Last updated:** 06/30/2026