# COMMONWEALTH UROLOGY, PSC

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

## Provider details

- **NPI number:** 1316024771
- **Authorized official:** MARYAGNES LITTLE (OFFICE MANAGER)
- **Authorized official phone:** (859) 277-5766

## Contact information

- **Practice address:** 160 N EAGLE CREEK DR, SUITE 301, LEXINGTON, KY 40509-2121
- **Practice address phone:** (859) 737-4411
- **Mailing address:** 1760 NICHOLASVILLE RD, SUITE 301, LEXINGTON, KY 40503-1471
- **Mailing address phone:** (859) 277-5766
- **Mailing address fax:** (859) 277-3406

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | Yes |
| 174400000X | Specialist | — | — | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 08/22/2020