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Organization

CENTRAL KENTUCKY OPTOMETRIC ASSOCIATES PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICIA M HOLLINGSWORTH-CECCONI OD (SEC/TREAS)
(859) 336-9388
Entity
Organization

Contact information

Practice address
108 COMMERCIAL AVE, SPRINGFIELD, KY 40069-1413
(859) 336-9388
(859) 336-9970
Mailing address
PO BOX 169, SPRINGFIELD, KY 40069-0169
(859) 336-9388
(859) 336-9970

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
77903383
KY
Enumeration date
06/01/2006
Last updated
11/19/2008
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