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Organization
PROFESSIONAL SURGICAL ASSISTING SERVICES
Active
Organization
PROFESSIONAL SURGICAL ASSISTING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BILLY MINTON SA-C, KCSA (PRESIDENT)
(270) 202-9006
Entity
Organization
Contact information
Practice address
1301 N RACE ST, GLASGOW, KY 42141-3454
(270) 651-4444
Mailing address
116 BRITTANY LN, GLASGOW, KY 42141-5120
(270) 202-9006
(800) 497-4153
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
0626254
KY
Other
Enumeration date
02/08/2013
Last updated
02/08/2013
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