# WESTERN KENTUCKY INSTITUTE OF PLASTIC, RECONSTRUCTIVE AND AESTHETIC SU

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

## Provider details

- **NPI number:** 1417953209
- **Authorized official:** DR. GEORGE R VALENTINI M.D. (PRESIDENT/OWNER)
- **Authorized official phone:** (270) 885-1140

## Contact information

- **Practice address:** 1724 KENTON ST, SUITE 1 C, HOPKINSVILLE, KY 42240-1981
- **Practice address phone:** (270) 885-1140
- **Practice address fax:** (270) 885-1183
- **Mailing address:** PO BOX 4025, HOPKINSVILLE, KY 42241-4025
- **Mailing address phone:** (270) 885-1140
- **Mailing address fax:** (270) 885-1183

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 27209 | KY | Yes |

## Other

- **Enumeration date:** 06/26/2005
- **Last updated:** 11/10/2014