# KENTUCKY SURGICAL ARTS PSC

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

## Provider details

- **NPI number:** 1528260734
- **Authorized official:** MRS. KAMAR J IKRAMUDDIN MD (M.D)
- **Authorized official phone:** (606) 886-0682

## Contact information

- **Practice address:** 5251 KY ROUTE 321, KENTUCKY SURGICAL ARTS PSC, PRESTONSBURG, KY 41653-9114
- **Practice address phone:** (606) 886-0682
- **Practice address fax:** (606) 886-0682
- **Mailing address:** 5251 KY ROUTE 321, KENTUCKY SURGICAL ARTS PSC, PRESTONSBURG, KY 41653-9114
- **Mailing address phone:** (606) 886-0682
- **Mailing address fax:** (606) 886-0682

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VX0000X | Obstetrics Physician | 19463 | KY | Yes |
| 208600000X | Surgery Physician | 19259 | KY | — |

## Other

- **Enumeration date:** 06/01/2007
- **Last updated:** 03/13/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 64192594 | — | KY |
| 05 | — | 64194632 | — | KY |