Organization
KENTUCKIANA PREMIER PST CENTER, LLC
Active
Other names
KPTC
Organization subpart
No
Provider details
NPI number
Authorized official
TOM LUMLEY (CFO)
(502) 532-1811
Entity
Organization
Contact information
Practice address
605 N SHORE DR, STE 202, JEFFERSONVILLE, IN 47130-3134
(502) 532-1811
(502) 410-0445
Mailing address
605 N SHORE DR, STE 202, JEFFERSONVILLE, IN 47130-3134
(502) 532-1811
(502) 410-0445
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
03/21/2012
Last updated
03/21/2012
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