Organization
CARDIOLOGY ASSOCIATES OF SOUTHERN KENTUCKY PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA C. BROCK (BUSINESS MANAGER)
(270) 651-9611
Entity
Organization
Contact information
Practice address
1004 GLENVIEW DR, GLASGOW, KY 42141-3424
(270) 651-9611
(270) 651-9298
Mailing address
1004 GLENVIEW DR, GLASGOW, KY 42141-3424
(270) 651-9611
(270) 651-9298
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
18627
KY
207RP1001X
Pulmonary Disease Physician
—
—
Other
Enumeration date
02/09/2006
Last updated
11/22/2011
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