Organization
CENTRAL KENTUCKY SURGERY, PSC
Active
Parent organization
CENTRAL KENTUCKY SURGERY PSC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL KENTUCKY SURGERY PSC
Authorized official
KENT KESSLER MD (SECRETARY)
(859) 985-9535
Entity
Organization
Contact information
Practice address
202 KIDD DR, SUITE 1, BEREA, KY 40403-9593
(859) 985-9535
Mailing address
1110 LANCASTER RD, SUITE 3, RICHMOND, KY 40475-8792
(859) 623-3576
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65921579
—
KY
01
—
CM4690
TRAVELERS MEDICARE
—
Enumeration date
10/24/2006
Last updated
10/18/2007
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