Individual
SUSAN TUCKER KORNEGAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
740 S LIMESTONE E101, LEXINGTON, KY 40536-0001
(859) 257-5270
Mailing address
740 S LIMESTONE SUITE K454, LEXINGTON, KY 40536-0001
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
R5116
KY
Other
Enumeration date
03/20/2019
Last updated
07/07/2020
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