# BODY SPECTRUM PLASTIC SURGERY LLC

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

## Provider details

- **NPI number:** 1780867804
- **Authorized official:** DR. BRUCE R BARTON M.D. (PLASTIC SURGEON)
- **Authorized official phone:** (859) 224-1235

## Contact information

- **Practice address:** 2414 GREATSTONE PT, LEXINGTON, KY 40504-3274
- **Practice address phone:** (859) 224-1235
- **Practice address fax:** (859) 224-2382
- **Mailing address:** 2414 GREATSTONE PT, LEXINGTON, KY 40504-3274
- **Mailing address phone:** (859) 224-1235
- **Mailing address fax:** (859) 224-2382

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 25491 | KY | Yes |

## Other

- **Enumeration date:** 12/12/2007
- **Last updated:** 05/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000320800 | ANTHEM BC/BS | KY |
| 05 | — | 64254915 | — | KY |