Organization
KENTUCKY SURGICAL & WOUND SERVICES PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAZEL L JOSEPH MD (PRESIDENT)
(270) 704-3599
Entity
Organization
Contact information
Practice address
105 MORNINGSIDE DR, MARION, KY 42064-1269
(270) 704-3599
(270) 713-0261
Mailing address
2934 DOLPHIN DR UNIT 757, ELIZABETHTOWN, KY 42702-4030
(270) 704-3599
(270) 713-0261
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
38878
KY
Other
Enumeration date
08/07/2008
Last updated
01/06/2016
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