# LANDMARK UROLOGY PSC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Amberly K. Windisch, M.D.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619171030
- **Authorized official:** DR. AMBERLY K WINDISCH MD (OWNER)
- **Authorized official phone:** (502) 868-9748

## Contact information

- **Practice address:** 103 S BRADFORD LN, SUITE 101, GEORGETOWN, KY 40324-2336
- **Practice address phone:** (502) 868-9748
- **Practice address fax:** (502) 868-9749
- **Mailing address:** 103 S BRADFORD LN, SUITE 101, GEORGETOWN, KY 40324-2336
- **Mailing address phone:** (502) 868-9748
- **Mailing address fax:** (502) 868-9749

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 41104 | KY | Yes |

## Other

- **Enumeration date:** 06/11/2007
- **Last updated:** 01/30/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1801090220 | NPI INDIVIDUAL | — |
| 05 | — | 7100018160 | — | KY |
