# AUDUBON GI PSC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1639242613
- **Authorized official:** DR. KAREN R. CANLAS MD (PRESIDENT)
- **Authorized official phone:** (270) 826-0002

## Contact information

- **Practice address:** 1413 NORTH ELM ST, SUITE 105, HENDERSON, KY 42420-4266
- **Practice address phone:** (270) 826-0002
- **Practice address fax:** (270) 826-0003
- **Mailing address:** PO BOX 1098, HENDERSON, KY 42419-1098
- **Mailing address phone:** (270) 826-0002
- **Mailing address fax:** (270) 826-0003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 18731 | KY | Yes |
| 207RG0100X | Gastroenterology Physician | 38601 | KY | — |

## Other

- **Enumeration date:** 11/16/2006
- **Last updated:** 01/07/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000047502 | BLUE CROSS BLUE SHIELD | KY |
| 05 | — | 64187313 | — | KY |