# KENTUCKY CARDIOTHORACIC SURGERY PLLC

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

## Provider details

- **NPI number:** 1871640201
- **Authorized official:** DR. SAMUEL B POLLOCK JR. M.D. (OWNER)
- **Authorized official phone:** (502) 810-8002

## Contact information

- **Practice address:** 3900 KRESGE WAY, SUITE 46, LOUISVILLE, KY 40207-4660
- **Practice address phone:** (502) 810-8002
- **Practice address fax:** (502) 810-8002
- **Mailing address:** PO BOX 7565, LOUISVILLE, KY 40257-0565
- **Mailing address phone:** (502) 810-8002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 0543246 | KY | Yes |

## Other

- **Enumeration date:** 01/05/2007
- **Last updated:** 10/26/2010
