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Organization

KENTUCKY INSTITUTE FOR EYE HEALTH & SURGERY

Active
Other names
Kentucky Eye Institute
Organization subpart
No

Provider details

NPI number
Authorized official
KEN WOODWORTH (COMT,COE)
(859) 278-9393
Entity
Organization

Contact information

Practice address
408 MAIN ST, WEST LIBERTY, KY 41472-1014
(606) 743-4111
(606) 743-2018
Mailing address
140L HARRODSBURG RD., STE B 75, LEXINGTON, KY 40504
(859) 278-9393
(859) 277-3965

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1035DT
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
77902500
KY
Enumeration date
02/13/2007
Last updated
05/19/2021
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