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Organization
KENTUCKIANA PERINATOLOGY, PSC
Active
Organization
KENTUCKIANA PERINATOLOGY, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA KAYE HAWORTH CRT, CPC, CPC-H,CIMC (BILLING/CODING)
(502) 582-5999
Entity
Organization
Contact information
Practice address
210 E GRAY ST, SUITE 803, LOUISVILLE, KY 40202-3902
(502) 582-6900
(502) 582-5400
Mailing address
210 E GRAY ST, SUITE 803, LOUISVILLE, KY 40202-3902
(502) 582-6900
(502) 582-5400
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
29075
KY
207VM0101X
Maternal & Fetal Medicine Physician
Primary
29075
KY
363L00000X
Nurse Practitioner
1101722
KY
363L00000X
Nurse Practitioner
3003321
KY
363L00000X
Nurse Practitioner
3005620
KY
Other
Enumeration date
07/03/2007
Last updated
07/31/2015
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