# J.C. SURGICAL ASSISTING

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

## Provider details

- **NPI number:** 1831217678
- **Authorized official:** JESSE CHRISTIAN KCSA (OWNER)
- **Authorized official phone:** (502) 454-7788

## Contact information

- **Practice address:** 425 N KEENELAND DR, STE. 4, RICHMOND, KY 40475-8597
- **Practice address phone:** (502) 454-7788
- **Practice address fax:** (502) 451-9291
- **Mailing address:** 425 N KEENELAND DR, STE. 4, RICHMOND, KY 40475-8597
- **Mailing address phone:** (502) 454-7788
- **Mailing address fax:** (502) 451-9291

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 246ZS0410X | Surgical Technologist | SA130 | KY | Yes |

## Other

- **Enumeration date:** 03/27/2007
- **Last updated:** 08/22/2020