# WESTERN KENTUCKY UROLOGICAL ASSOCIATES PSC

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

## Provider details

- **NPI number:** 1356394639
- **Authorized official:** CHRISTOPHER G STANCZYK MD (PHYSICIAN/OWNER)
- **Authorized official phone:** (270) 251-4545

## Contact information

- **Practice address:** 1029 MEDICAL CENTER CIR, SUITE 200, MAYFIELD, KY 42066-1189
- **Practice address phone:** (270) 251-4545
- **Practice address fax:** (270) 251-4546
- **Mailing address:** 1029 MEDICAL CENTER CIR, SUITE 200, MAYFIELD, KY 42066-1189
- **Mailing address phone:** (270) 251-4545
- **Mailing address fax:** (270) 251-4546

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 02839 | KY | Yes |

## Other

- **Enumeration date:** 05/18/2006
- **Last updated:** 10/25/2011