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Organization

NEUROSCIENCE INSTITUTE OF KENTUCKY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRUCE BALLET (CAO)
(860) 771-0622
Entity
Organization

Contact information

Practice address
112 S MAIN ST STE A, SOMERSET, KY 42501-2063
(606) 744-1614
Mailing address
112 S MAIN ST STE A, SOMERSET, KY 42501-2063
(606) 744-1614
(606) 402-2132

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary

Other

Enumeration date
10/10/2022
Last updated
10/20/2022
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