Organization
KENTUCKY MSO LLC
Active
Organization
KENTUCKY MSO LLC
Active
Other names
Gastroenterology and Hepatology of the Bluegrass
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA BOWMAN (CORPORATE SECRETARY)
(615) 920-7000
Entity
Organization
Contact information
Practice address
1138 LEXINGTON RD, SUITE 140, GEORGETOWN, KY 40324-9672
(502) 570-3721
(502) 570-3722
Mailing address
1138 LEXINGTON RD, SUITE 140, GEORGETOWN, KY 40324-9672
(502) 570-3721
(502) 570-3722
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
05/08/2013
Last updated
04/21/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up