# KENTUCKY CARDIOLOGY, PLLC

> 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:** 1760583165
- **Authorized official:** KIMBERLY NOVAK (PRACTICE MANAGER)
- **Authorized official phone:** (859) 226-0031

## Contact information

- **Practice address:** 161 N EAGLE CREEK DR, STE 400, LEXINGTON, KY 40509-9038
- **Practice address phone:** (859) 226-0031
- **Practice address fax:** (859) 226-0041
- **Mailing address:** 161 N EAGLE CREEK DR, STE 400, LEXINGTON, KY 40509-9038
- **Mailing address phone:** (859) 226-0031
- **Mailing address fax:** (859) 226-0041

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | Yes |
| 174400000X | Specialist | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 09/26/2006
- **Last updated:** 09/11/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 65939985 | — | KY |