# WESTERN KENTUCKY AMBULATORY SURGERY CENTER LLC

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

## Provider details

- **NPI number:** 1831149608
- **Authorized official:** ERIC LEE (BOARD MEMBER)
- **Authorized official phone:** (270) 887-0224

## Contact information

- **Practice address:** 210 TANGLEWOOD DR, LEWES, DE 19958-9545
- **Practice address phone:** (302) 542-2770
- **Practice address fax:** (302) 261-0209
- **Mailing address:** 8250 EAGLE WAY, HOPKINSVILLE, KY 42241
- **Mailing address phone:** (302) 542-2770
- **Mailing address fax:** (302) 261-0209

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | PENDING | KY | Yes |

## Other

- **Enumeration date:** 05/11/2006
- **Last updated:** 08/22/2020