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Organization
KENTUCKY MSO LLC
Active
Organization
KENTUCKY MSO LLC
Active
Other names
Central Kentucky Oncology and Hematology
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY TEAGUE (CORPORATE SECRETARY)
(615) 920-7000
Entity
Organization
Contact information
Practice address
1140 LEXINGTON RD, SUITE 202, GEORGETOWN, KY 40324-9330
(502) 868-5603
(502) 868-5612
Mailing address
1140 LEXINGTON RD, SUITE 202, GEORGETOWN, KY 40324-9330
(502) 868-5603
(502) 868-5612
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
11/20/2012
Last updated
09/22/2020
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