Organization
CENTRAL KENTUCKY SURGERY, PSC
Active
Parent organization
CENTRAL KENTUCKY SURGERY, PSC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL KENTUCKY SURGERY, PSC
Authorized official
HAMEED KOURY MD (VICE PRESIDENT)
(859) 623-3576
Entity
Organization
Contact information
Practice address
120 N EAGLE CREEK DR, SUITE 350, LEXINGTON, KY 40509-1827
(800) 559-6614
(859) 624-9682
Mailing address
1110 LANCASTER RD, SUITE 3, RICHMOND, KY 40475-8792
(859) 623-3576
(859) 624-9682
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65921579
—
KY
Enumeration date
10/22/2009
Last updated
11/09/2009
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