Organization
CENTRAL KENTUCKY HEAD & NECK SURGICAL ASSOCIATES, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR GEORGE LAWSON M.D. (C.E.O.)
(859) 987-0400
Entity
Organization
Contact information
Practice address
24 CLINIC DR, SUITE B, PARIS, KY 40361-2166
(859) 987-0400
(859) 987-0409
Mailing address
24 CLINIC DR, SUITE B, PARIS, KY 40361-2166
(859) 987-0400
(859) 987-0409
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
29133
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64291339
—
KY
Enumeration date
01/15/2007
Last updated
05/14/2009
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