Organization
SURGERY CENTER OF KENTUCKY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ATEFEH GUPTA MD (CEO & PRESIDENT)
(502) 417-2575
Entity
Organization
Contact information
Practice address
1003 N DUPONT SQ, LOUISVILLE, KY 40207-4612
(502) 417-2575
Mailing address
9219 US HIGHWAY 42 # D174, PROSPECT, KY 40059-8857
(502) 417-2575
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
—
—
Other
Enumeration date
03/13/2020
Last updated
03/13/2020
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