Organization
PHYSICIAN SERVICES PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN W GILBERT MD (PRESIDENT)
(859) 252-6500
Entity
Organization
Contact information
Practice address
5001 HOUSTON RD, FLORENCE, KY 41042
(859) 282-8678
(859) 282-8679
Mailing address
PO BOX 22430, LEXINGTON, KY 40522-2430
(859) 224-0090
(859) 224-0094
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
—
—
2084N0400X
Neurology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1026130003
NSC - DME
KY
05
—
2472800
—
OH
05
—
3810003494
—
WV
05
—
65926552
—
KY
01
—
CD2933
RRMCR
KY
Enumeration date
02/06/2006
Last updated
08/19/2009
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