Organization
ADVANCED SURGICAL SPECIALISTS OF KY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN BARRIOS MD (OWNER)
(606) 666-7777
Entity
Organization
Contact information
Practice address
540 JETT DR, JACKSON, KY 41339-9622
(606) 666-7777
(606) 666-4100
Mailing address
540 JETT DR, JACKSON, KY 41339-9622
(606) 666-7777
(606) 666-4100
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
42222
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100304970
—
KY
Enumeration date
01/28/2015
Last updated
03/19/2015
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