# THE PLASTIC SURGERY GROUP

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

## Provider details

- **NPI number:** 1346468030
- **Authorized official:** MS. JULIE GANDER (OFFICE MANAGER)
- **Authorized official phone:** (513) 791-4440

## Contact information

- **Practice address:** 340 THOMAS MORE PKWY, SUITE 100, CRESTVIEW HILLS, KY 41017-5100
- **Practice address phone:** (859) 331-8777
- **Practice address fax:** (859) 344-3263
- **Mailing address:** 340 THOMAS MORE PKWY, SUITE 100, CRESTVIEW HILLS, KY 41017-5100
- **Mailing address phone:** (859) 331-8777
- **Mailing address fax:** (859) 344-3263

## Taxonomy

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

## Other

- **Enumeration date:** 04/20/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0167877 | — | OH |