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Organization

GLEN W. SIMONS, M.D., P.S.C.

Active
Other names
Kentucky Vein Care
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GLEN W SIMONS M.D. (PHYSICIAN/OWNER)
(859) 455-8346
Entity
Organization

Contact information

Practice address
3080 HARRODSBURG ROAD, SUITE 200, LEXINGTON, KY 40503-2787
(859) 455-8346
(859) 455-8866
Mailing address
3080 HARRODSBURG ROAD, SUITE 200, LEXINGTON, KY 40503-2787
(859) 455-8346
(859) 455-8866

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
36709
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64039829
KY
05
65935538
KY
Enumeration date
04/20/2007
Last updated
12/16/2024
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