Organization
CARDIOLOGY OF KENTUCKY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE P STACY JR. M.D. (PARTNER)
(502) 897-7107
Entity
Organization
Contact information
Practice address
4003 KRESGE WAY STE 221, LOUISVILLE, KY 40207-4652
(502) 897-7107
(502) 897-7613
Mailing address
4003 KRESGE WAY STE 221, LOUISVILLE, KY 40207-4652
(502) 897-7107
(502) 897-7613
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1050379
—
KY
Enumeration date
11/01/2006
Last updated
02/04/2011
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