Organization
KENTUCKY MSO LLC
Active
Other names
Central Kentucky Pulmonary Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JESS N JUDY (PRESIDENT)
(615) 372-8500
Entity
Organization
Contact information
Practice address
1138 LEXINGTON RD, STE 130, GEORGETOWN, KY 40324-9672
(502) 570-2324
(502) 570-2325
Mailing address
1138 LEXINGTON RD, STE 130, GEORGETOWN, KY 40324-9672
(502) 570-2324
(502) 570-2325
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
10/08/2012
Last updated
10/08/2012
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