Organization
CENTRAL KENTUCKY SEDATION PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH DAVIS (DIRECTOR OF REVENUE)
(859) 533-1109
Entity
Organization
Contact information
Practice address
2517 SIR BARTON WAY, LEXINGTON, KY 40509-2744
(859) 543-2456
Mailing address
105 SPRUCE ST, LEXINGTON, KY 40507-2109
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LP3000X
Pediatric Anesthesiology Physician
Primary
—
—
Other
Enumeration date
06/07/2023
Last updated
11/10/2023
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