Organization
KENTUCKY CARDIOTHORACIC SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL B POLLOCK JR. MD (OWNER CARDIOTHORACIC SURGEON)
(502) 899-3858
Entity
Organization
Contact information
Practice address
3900 KRESGE WAY, LOUISVILLE, KY 40207-4660
(502) 810-8002
Mailing address
PO BOX 7565, LOUISVILLE, KY 40257-0565
(502) 810-8002
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9590074200
—
KY
Enumeration date
05/25/2007
Last updated
10/26/2010
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