Organization
KENTUCKY URGENT TREATMENT ASSOCIATES, PSC
Active
Other names
Nicholasville Urgent Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY C. BURNS M.D. (PRESIDENT)
(859) 273-8882
Entity
Organization
Contact information
Practice address
204 BELLAIRE DRIVE, NICHOLASVILLE, KY 40356-8840
(859) 887-4882
Mailing address
3174 CUSTER DR, SUITE 100, LEXINGTON, KY 40517-4000
(859) 273-8882
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65946105
—
KY
Enumeration date
02/22/2007
Last updated
01/13/2011
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