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Organization
J.C. SURGICAL ASSISTING
Active
Organization
J.C. SURGICAL ASSISTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE CHRISTIAN KCSA (OWNER)
(502) 454-7788
Entity
Organization
Contact information
Practice address
425 N KEENELAND DR, STE. 4, RICHMOND, KY 40475-8597
(502) 454-7788
(502) 451-9291
Mailing address
425 N KEENELAND DR, STE. 4, RICHMOND, KY 40475-8597
(502) 454-7788
(502) 451-9291
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
SA130
KY
Other
Enumeration date
03/27/2007
Last updated
08/22/2020
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