Organization
KENTUCKY MSO LLC
Active
Other names
Central Kentucky Oncology and Hematology
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY TEAGUE (CORPORATE SECRETARY)
(615) 920-7000
Entity
Organization
Contact information
Practice address
1140 LEXINGTON RD, SUITE 202, GEORGETOWN, KY 40324-9330
(502) 868-5603
(502) 868-5612
Mailing address
1140 LEXINGTON RD, SUITE 202, GEORGETOWN, KY 40324-9330
(502) 868-5603
(502) 868-5612
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
11/20/2012
Last updated
09/22/2020
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