Organization
KENTUCKY SURGICAL ARTS PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAMAR J IKRAMUDDIN MD (M.D)
(606) 886-0682
Entity
Organization
Contact information
Practice address
5251 KY ROUTE 321, KENTUCKY SURGICAL ARTS PSC, PRESTONSBURG, KY 41653-9114
(606) 886-0682
(606) 886-0682
Mailing address
5251 KY ROUTE 321, KENTUCKY SURGICAL ARTS PSC, PRESTONSBURG, KY 41653-9114
(606) 886-0682
(606) 886-0682
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
19463
KY
208600000X
Surgery Physician
19259
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64192594
—
KY
05
—
64194632
—
KY
Enumeration date
06/01/2007
Last updated
03/13/2014
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