# KENTUCKIANA PERINATOLOGY, PSC

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

## Provider details

- **NPI number:** 1811195522
- **Authorized official:** SANDRA KAYE HAWORTH CRT, CPC, CPC-H,CIMC (BILLING/CODING)
- **Authorized official phone:** (502) 582-5999

## Contact information

- **Practice address:** 210 E GRAY ST, SUITE 803, LOUISVILLE, KY 40202-3902
- **Practice address phone:** (502) 582-6900
- **Practice address fax:** (502) 582-5400
- **Mailing address:** 210 E GRAY ST, SUITE 803, LOUISVILLE, KY 40202-3902
- **Mailing address phone:** (502) 582-6900
- **Mailing address fax:** (502) 582-5400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 29075 | KY | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | 29075 | KY | Yes |
| 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