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Organization
KENTUCKY CARDIOTHORACIC SURGERY PLLC
Active
Organization
KENTUCKY CARDIOTHORACIC SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL B POLLOCK JR. M.D. (OWNER)
(502) 810-8002
Entity
Organization
Contact information
Practice address
3900 KRESGE WAY, SUITE 46, LOUISVILLE, KY 40207-4660
(502) 810-8002
(502) 810-8002
Mailing address
PO BOX 7565, LOUISVILLE, KY 40257-0565
(502) 810-8002
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
0543246
KY
Other
Enumeration date
01/05/2007
Last updated
10/26/2010
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