Organization
CENTRAL KENTUCKY SURGICAL INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH BENTLEY APRN (OFFICE MANAGER)
(270) 465-7505
Entity
Organization
Contact information
Practice address
1878 OLD LEBANON RD, CAMPBELLSVILLE, KY 42718-9663
(270) 465-7505
(270) 789-3860
Mailing address
1878 OLD LEBANON RD, CAMPBELLSVILLE, KY 42718-9663
(270) 465-7505
(270) 789-3860
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5850P
KY
Other
Enumeration date
04/16/2010
Last updated
04/16/2010
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